| 4evergreen Family Services, Llc | |
|
516 Villa Ave Ste 2 Clovis CA 93612-0899 | |
| (559) 760-0948 | |
| Not Available |
| Full Name | 4evergreen Family Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 516 Villa Ave Ste 2, Clovis, California |
| Authorized Official Name and Position | Leslie Lee Wenger (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5596765024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4evergreen Family Services, Llc 516 Villa Ave Ste 2 Clovis CA 93612-0899 Ph: (559) 760-0948 | 4evergreen Family Services, Llc 516 Villa Ave Ste 2 Clovis CA 93612-0899 Ph: (559) 760-0948 |
| NPI Number | 1134914237 |
|---|---|
| Provider Enumeration Date | 04/10/2025 |
| Last Update Date | 04/10/2025 |
| Certification Date | 04/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134914237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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