Organization
FRESNO COUNTY
Active
Other names
Perinatal Program
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LEIGH HOLT LMFT (DIRECTOR)
(559) 600-9058
Entity
Organization
Contact information
Practice address
142 E CESAR CHAVEZ BLVD, FRESNO, CA 93706-3642
(559) 453-8270
(559) 453-3355
Mailing address
142 E CESAR CHAVEZ BLVD, FRESNO, CA 93706-3642
(559) 453-8270
(559) 453-3355
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXXX
DEPARTMENT OF MENTAL HEALTH
CA
Enumeration date
02/22/2010
Last updated
09/23/2024
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