Doctor Name: | MR. FIDEL GARIBAY |
NPI Number: | 1780734459 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 245 S. Madera Ave Kerman, CA - 93630 |
Business Phone Number: | 5598467500 |
Business Fax Number: | 5598465892 |
Mailing Address: | 91 Lester Ave, CLOVIS |
State: | CA |
Postal Code: | 936197594 |
Phone Number: | 5593241268 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |