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NPI Code Detail

MEDICARE: SAVANNAH GRACE DRAGOMANOVICH

MEDICARE: SAVANNAH GRACE DRAGOMANOVICH
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
1106H00000XMarriage & Family Therapist108006CA
2101YM0800XMental Health Counselor108006CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11952997116OTHERCAN/A

General Provider Information

NPI Number : 1952997116
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANNAH GRACE DRAGOMANOVICH
Provider Business Mailing Address
First Line : 963 N VAGEDES AVE
Second Line :
City : FRESNO
State : CA
Zip : 93728-2932
Country : US
Telephone Number : 559-836-9318
Fax Number :
Provider Business Practice Location Address
First Line : 4041 PLAZA DR W
Second Line :
City : FRESNO
State : CA
Zip : 93702-1342
Country : US
Telephone Number : 559-981-1070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2020
Last Update Date : 01/08/2026

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Directions to “ SAVANNAH GRACE DRAGOMANOVICH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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