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Footsteps, A Licensed Clinical Social Worker Corporation
Adolescent and Children Mental Health Clinic/Center in Clovis, California
NPI 1144720665

Footsteps, A Licensed Clinical Social Worker Corporation is an Adolescent and Children Mental Health Clinic/Center based in Clovis, CA and is specialized in Adolescent and Children Mental Health. Footsteps, A Licensed Clinical Social Worker Corporation practices in Clovis, CA. The NPI Number for Footsteps, A Licensed Clinical Social Worker Corporation is 1144720665 and holds a License No. (California).

The current practice location address for Footsteps, A Licensed Clinical Social Worker Corporation is 55 Shaw Ave Ste 115, Clovis, CA and can be reached out via phone at 559-825-1324 and via fax at 559-408-5557.

Location: 55 Shaw Ave Ste 115, Clovis, CA, 93613-1424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144720665
Provider Name
Footsteps, A Licensed Clinical Social Worker Corporation
Credential
Provider Entity Type
Organization
Address
55 Shaw Ave Ste 115, Clovis, CA, 93613-1424
Phone Number
559-825-1324
Fax Number
559-408-5557
Provider Enumeration Date
02/21/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
55 Shaw Ave Ste 115
City
Clovis
State
California
Zip
93612
Phone Number
559-825-1324
Fax Number
559-408-5557
person
Provider Business Mailing Address Details
Address
55 Shaw Ave Ste 115
City
Clovis
State
California
Zip
93612
Phone Number
559-825-1324
Fax Number
559-408-5557
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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