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Organization

SEQUOIA PSYCHOTHERAPY CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK DAVID POPPER PH.D. (EXECUTIVE CLINICAL DIRECTOR)
(559) 266-5200
Entity
Organization

Contact information

Practice address
1960 N. GATEWAY BLVD, FRESNO, CA 93727
(559) 266-5200
Mailing address
1960 N. GATEWAY BLVD, FRESNO, CA 93727
(559) 266-5200

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
PSY 13574
CA

Other

Enumeration date
06/27/2006
Last updated
03/29/2019
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