Healthcare Provider Details

I. General information

NPI: 1215805320
Provider Name (Legal Business Name): BRIENNE D ROBLES ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIENNE D ALEXANDER

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7575 N CEDAR AVE STE 102
FRESNO CA
93720-2693
US

IV. Provider business mailing address

7575 N CEDAR AVE STE 102
FRESNO CA
93720-2693
US

V. Phone/Fax

Practice location:
  • Phone: 559-321-2322
  • Fax:
Mailing address:
  • Phone: 559-321-2322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW112097
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: