MEDICARE: MR. DAMIEN GABRIEL TERRONEZ LCSW

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
1	1041C0700X	Clinical Social Worker	LCSW28908	CA

General Provider Information

NPI Number	:	1518104330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAMIEN GABRIEL TERRONEZ LCSW

Provider Business Mailing Address
First Line	:	5260 N PALM AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-2215
Country	:	US
Telephone Number	:	559-600-9180
Fax Number	:

Provider Business Practice Location Address
First Line	:	5260 N PALM AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-2215
Country	:	US
Telephone Number	:	559-600-9180
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2009
Last Update Date	:	05/12/2026

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Directions to “ MR. DAMIEN GABRIEL TERRONEZ LCSW” Practice Location

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