Individual
CONNIE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2719 N AIR FRESNO DR, FRESNO, CA 93727-1547
(559) 600-6743
Mailing address
2719 N AIR FRESNO DR, FRESNO, CA 93727-1547
(559) 600-6743
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
103438
CA
104100000X
Social Worker
Primary
103438
CA
104100000X
Social Worker
Primary
136702
CA
Other
Enumeration date
08/24/2021
Last updated
03/04/2026
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