Provider Demographics
NPI:1972331080
Name:KINSFATHER, AARON PATRICK
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:PATRICK
Last Name:KINSFATHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6061 N FRESNO ST STE 100
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5265
Mailing Address - Country:US
Mailing Address - Phone:559-528-8880
Mailing Address - Fax:
Practice Address - Street 1:6061 N FRESNO ST STE 100
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5265
Practice Address - Country:US
Practice Address - Phone:559-528-8880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist