Individual
CARISSA LEANNE CELUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 E BELMONT AVE, FRESNO, CA 93701-1502
(559) 237-3420
Mailing address
398 DECATUR AVE, CLOVIS, CA 93611-7057
(559) 862-6247
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14206
CA
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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