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NPI Code Detail

MEDICARE: SAI VANG LMFT

MEDICARE: SAI VANG LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist146975CA
2101YM0800XMental Health Counselor110041CA

General Provider Information

NPI Number : 1033684790
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAI VANG LMFT
Provider Business Mailing Address
First Line : 4879 E KINGS CANYON ROAD
Second Line :
City : FRESNO
State : CA
Zip : 93727-3811
Country : US
Telephone Number : 559-255-8395
Fax Number : 559-255-1656
Provider Business Practice Location Address
First Line : 4855 E KINGS CANYON ROAD
Second Line :
City : FRESNO
State : CA
Zip : 93727-3811
Country : US
Telephone Number : 559-255-8395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2018
Last Update Date : 05/27/2026

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