Individual
MISS CHEYENNE MARIE PALLARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2560 W SHAW LN STE 104, FRESNO, CA 93711-2777
(559) 443-4800
Mailing address
2560 W SHAW LN STE 104, FRESNO, CA 93711-2777
(559) 443-4800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW102367
CA
104100000X
Social Worker
Primary
128972
CA
1041C0700X
Clinical Social Worker
102367
CA
Other
Enumeration date
07/22/2021
Last updated
03/05/2025
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