MEDICARE: NATALIE RODRIGUEZ MEJIA 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
1	106H00000X	Marriage & Family Therapist	161765	CA
2	106H00000X	Marriage & Family Therapist	IMF125890	CA

General Provider Information

NPI Number	:	1326506965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE RODRIGUEZ MEJIA LMFT

Provider Business Mailing Address
First Line	:	1625 E SHAW AVE STE 133
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-8113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3451 W SHAW AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3242
Country	:	US
Telephone Number	:	559-492-8327
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2019
Last Update Date	:	02/23/2026

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