Provider Demographics
NPI:1538354634
Name:NUNEZ, ROSELYN E (LCSW)
Entity type:Individual
Prefix:
First Name:ROSELYN
Middle Name:E
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5447 N ROSALIA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93723-7642
Mailing Address - Country:US
Mailing Address - Phone:559-367-1431
Mailing Address - Fax:
Practice Address - Street 1:7575 N CEDAR AVE STE 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2693
Practice Address - Country:US
Practice Address - Phone:559-203-3775
Practice Address - Fax:559-326-0607
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CA897091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor