Organization
INTEGRAL PSYCHIATRY & COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYLENE BOOTH (BILLING)
(805) 441-8398
Entity
Organization
Contact information
Practice address
5464 N PALM AVE STE B, FRESNO, CA 93704-1946
(559) 943-3078
Mailing address
5464 N PALM AVE STE B, FRESNO, CA 93704-1946
(559) 943-3078
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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