Individual
DOMINICK GEDDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3855 N WEST AVE, FRESNO, CA 93705-2759
(559) 334-6433
Mailing address
3855 N WEST AVE, FRESNO, CA 93705-2759
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/05/2022
Last updated
05/09/2022
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