4evergreen Family Services INC
Counselor, Mental Health in Clovis, CA. Organization (NPI-2).
NPI number1134914237
StatusActive
Last updated in NPPESDec 5, 2025
Details
- NPI
- 1134914237
- Entity type
- Organization (NPI-2)
- Legal business name
- 4evergreen Family Services INC
- Organization subpart
- No
- Enumeration date
- Apr 10, 2025
- Certification date
- Dec 5, 2025
- Last updated
- Dec 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
516 Villa Ave Ste 2Clovis, CA 93612-0899
Phone 559-760-0948
Mailing address
516 Villa Ave Ste 2Clovis, CA 93612-0899
Phone 559-760-0948
Other practice locations
Authorized official
Leslie Lee Wenger
Cfo
5597604223
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