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NPI Code Detail

MEDICARE: JESSICA MARIE MICHELI

MEDICARE: JESSICA MARIE MICHELI
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 Therapist163202CA

General Provider Information

NPI Number : 1558788547
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA MARIE MICHELI
Provider Business Mailing Address
First Line : 2940 N FRESNO ST
Second Line :
City : FRESNO
State : CA
Zip : 93703-1123
Country : US
Telephone Number : 559-939-5999
Fax Number :
Provider Business Practice Location Address
First Line : 3737 N BLACKSTONE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-5323
Country : US
Telephone Number : 559-939-5999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2014
Last Update Date : 05/26/2026

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Directions to “ JESSICA MARIE MICHELI ” Practice Location

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