Healthcare Provider Details

I. General information

NPI: 1518893577
Provider Name (Legal Business Name): PAUL GILMAN AMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7413 N CEDAR AVE STE 103
FRESNO CA
93720-3833
US

IV. Provider business mailing address

7413 N CEDAR AVE STE 103
FRESNO CA
93720-3833
US

V. Phone/Fax

Practice location:
  • Phone: 559-943-3078
  • Fax:
Mailing address:
  • Phone: 559-943-3078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA149025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: