Healthcare Provider Details

I. General information

NPI: 1255011896
Provider Name (Legal Business Name): MS. KIMBERLY FAITH ARROYO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 01/07/2025
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 N 1ST ST
FRESNO CA
93726-2304
US

IV. Provider business mailing address

4440 N 1ST ST
FRESNO CA
93726-2304
US

V. Phone/Fax

Practice location:
  • Phone: 559-228-2000
  • Fax:
Mailing address:
  • Phone: 559-229-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number149594
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: