Healthcare Provider Details

I. General information

NPI: 1861664740
Provider Name (Legal Business Name): NARINE ZILFUGHARYAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2008
Last Update Date: 05/05/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4447 E KINGS CANYON, FRESNO CA 93702
FRESNO CA
93726-4804
US

IV. Provider business mailing address

4447 E.KINGS CANYON
FRESNO CA
93702
US

V. Phone/Fax

Practice location:
  • Phone: 559-600-5755
  • Fax:
Mailing address:
  • Phone: 559-351-4850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW65201
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: