Provider Demographics
NPI:1013183078
Name:COUNTY OF FRESNO PROBATION DEPARTMENT
Entity Type:Organization
Organization Name:COUNTY OF FRESNO PROBATION DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TCM COORDINATOR/PROBATION SERV MGR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYMARIE
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-488-3568
Mailing Address - Street 1:1100 VAN NESS AVE
Mailing Address - Street 2:ROOM 804
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-2016
Mailing Address - Country:US
Mailing Address - Phone:559-488-3420
Mailing Address - Fax:559-262-4339
Practice Address - Street 1:1100 VAN NESS AVE
Practice Address - Street 2:ROOM 804
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93721-2016
Practice Address - Country:US
Practice Address - Phone:559-488-3420
Practice Address - Fax:559-262-4339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management