Healthcare Provider Details

I. General information

NPI: 1700463577
Provider Name (Legal Business Name): HARNEET BRAICH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3451 W SHAW AVE
FRESNO CA
93711-3242
US

IV. Provider business mailing address

3451 W SHAW AVE
FRESNO CA
93711-3242
US

V. Phone/Fax

Practice location:
  • Phone: 559-202-3423
  • Fax: 559-412-4693
Mailing address:
  • Phone: 559-202-3423
  • Fax: 559-412-4693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT157974
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: