Organization
INNOVATIONS COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE CAROL MCNEAL MAMFT (CEO/DIRECTOR)
(323) 326-0860
Entity
Organization
Contact information
Practice address
2100 WST. WINERY AVE, 101, FRESNO, CA 93703
(323) 326-0860
Mailing address
2100 W. WINERY AVE #101, FRESNO, CA 93703
(323) 326-0860
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
CA
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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