| West Side Church Of God | |
|
1424 W California Ave Fresno CA 93706-3922 | |
| (559) 237-1444 | |
| Not Available |
| Full Name | West Side Church Of God |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1424 W California Ave, Fresno, California |
| Authorized Official Name and Position | Maxie Parks (BOARD CHAIR) |
| Authorized Official Contact | 5592371444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Side Church Of God 1424 W California Ave Fresno CA 93706-3922 Ph: (559) 237-1444 | West Side Church Of God 1424 W California Ave Fresno CA 93706-3922 Ph: (559) 237-1444 |
| NPI Number | 1285499459 |
|---|---|
| Provider Enumeration Date | 02/16/2024 |
| Last Update Date | 02/16/2024 |
| Certification Date | 02/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285499459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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