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General NPI Number Information
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NPI Number | 1063181451
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Entity Type | Organization
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Legal Business Name | VUE FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 09/09/2021
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Last Update Date | 09/09/2021
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Provider Practice Location Address
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Address Line | 1551 E SHAW AVE STE 116
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City | FRESNO
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State | CA
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Zip | 93710-8007
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Country | US
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Telephone | 559-202-3390
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Fax | 559-468-0288
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Provider Business Mailing Address
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Address Line | 711 W. SHAW AVE., SUITE 112 PMB 71
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City | CLOVIS
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State | CA
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Zip | 93612
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Country | US
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Telephone | 559-202-3390
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PA KOU VUE
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Credential | LMFT
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Telephone | 559-202-3390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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