Healthcare Provider Details

I. General information

NPI: 1073477865
Provider Name (Legal Business Name): ALEXIS BURGER LICENSED PROFESSIONAL CLINICAL COUNSELOR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7409 N CEDAR AVE STE 101
FRESNO CA
93720-3836
US

IV. Provider business mailing address

43463 CRYSTAL CAVE CIR
COARSEGOLD CA
93614-9658
US

V. Phone/Fax

Practice location:
  • Phone: 559-242-6632
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALEXIS JEAN BURGER
Title or Position: OWNER/CEO
Credential:
Phone: 559-375-5757