MEDICARE: NEREYDA ARIAS PEREZ

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1710267190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEREYDA ARIAS PEREZ

Provider Business Mailing Address
First Line	:	5168 N BLYTHE AVE STE 101
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-6429
Country	:	US
Telephone Number	:	559-248-8550
Fax Number	:	559-248-8555

Provider Business Practice Location Address
First Line	:	5168 N BLYTHE AVE STE 101
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93722-6429
Country	:	US
Telephone Number	:	559-248-8550
Fax Number	:	559-248-8555

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

Provider Enumeration Date	:	08/17/2011
Last Update Date	:	08/17/2011

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Directions to “ NEREYDA ARIAS PEREZ ” Practice Location

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