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NPI Code Detail

MEDICARE: COUNTY OF FRESNO

MEDICARE: COUNTY OF FRESNO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)000001044CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22100OTHERCOST CENTER

General Provider Information

NPI Number : 1073666723
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF FRESNO
Provider Business Mailing Address
First Line : 1925 E DAKOTA AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-4821
Country : US
Telephone Number : 559-253-9318
Fax Number :
Provider Business Practice Location Address
First Line : 1925 E DAKOTA AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-4821
Country : US
Telephone Number : 559-253-9318
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : SUSAN LEIGH HOLT
Credential : LMFT
Telephone Number : 559-600-9058
Provider Enumeration Date : 01/18/2007
Last Update Date : 05/26/2026

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93726-4821
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1487340345 — BRANDON GEE
Practice Location Address:
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FRESNO, CA
93726-4821
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1518597061 — ANGELINA LUNA-HERNANDEZ
Practice Location Address:
1925 E DAKOTA AVE
FRESNO, CA
93726-4821
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Practice Fax:
1861544694 — MS. ANITA MARIE KARSH MFT
Practice Location Address:
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FRESNO, CA
93726-4821
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Directions to “COUNTY OF FRESNO ” Practice Location

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