Individual
AIDAN TYNAEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6276 N FIRST ST #103, FRESNO, CA 93710
(559) 712-4300
Mailing address
1650 E SHEPHERD AVE #130, FRESNO, CA 93720
(559) 960-9848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18094
CA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/17/2023
Last updated
01/20/2025
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