Healthcare Provider Details

I. General information

NPI: 1427628163
Provider Name (Legal Business Name): AUBREY PASSMORE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2021
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 CLOVIS AVE STE 213
CLOVIS CA
93612-2702
US

IV. Provider business mailing address

1450 CLOVIS AVE STE 213
CLOVIS CA
93612-2702
US

V. Phone/Fax

Practice location:
  • Phone: 559-744-0932
  • Fax:
Mailing address:
  • Phone: 559-744-0932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMFT156812
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: