Healthcare Provider Details

I. General information

NPI: 1962337436
Provider Name (Legal Business Name): HEATHER MARIE BORGES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 W FALLBROOK AVE STE 106
FRESNO CA
93711-6225
US

IV. Provider business mailing address

377 W FALLBROOK AVE STE 106
FRESNO CA
93711-6225
US

V. Phone/Fax

Practice location:
  • Phone: 559-795-5990
  • Fax: 559-468-0169
Mailing address:
  • Phone: 559-795-5990
  • Fax: 559-468-0169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: