Healthcare Provider Details

I. General information

NPI: 1376968263
Provider Name (Legal Business Name): NAVREET KAUR GILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2014
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 W SHAW LN STE 117
FRESNO CA
93711-2700
US

IV. Provider business mailing address

1811 N MARION AVE
CLOVIS CA
93619-9176
US

V. Phone/Fax

Practice location:
  • Phone: 559-549-7033
  • Fax:
Mailing address:
  • Phone: 559-905-1997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11524
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code167G00000X
TaxonomyLicensed Psychiatric Technician
License Number34932
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number34932
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number18303
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: