Individual
ARLENE MIRENDA STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3267 W RIALTO AVE, FRESNO, CA 93722-4138
(559) 255-8519
Mailing address
3267 W RIALTO AVE, FRESNO, CA 93722-4138
(559) 255-8519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ASW91499
CA
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
159098
CA
Other
Enumeration date
05/27/2020
Last updated
08/07/2020
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