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General NPI Number Information
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NPI Number | 1568878932
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Entity Type | Organization
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Legal Business Name | FRESNO PACIFIC UNIVERSITY DBA PACIFIC COUNSELING CENTER
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1717 S CHESTNUT AVE
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City | FRESNO
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State | CA
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Zip | 93702-4709
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Country | US
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Telephone | 559-453-8050
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Fax | 559-453-8040
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Provider Business Mailing Address
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Address Line | 1717 S CHESTNUT AVE # 14
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City | FRESNO
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State | CA
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Zip | 93702-4709
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Country | US
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Telephone | 559-453-8050
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Fax | 559-453-8040
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ANGELA JAYNE TURNER
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Credential | LMFT
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Telephone | 559-453-8060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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