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NPI Code Detail

MEDICARE: ELIZABETH ANNE ESCOTO LMFT 95075

MEDICARE: ELIZABETH ANNE ESCOTO LMFT 95075
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
1101YM0800XMental Health Counselor68393CA
2106H00000XMarriage & Family Therapist68393CA
3171M00000XCase Manager/Care CoordinatorCA
4106H00000XMarriage & Family Therapist95075CA

General Provider Information

NPI Number : 1902117856
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE ESCOTO LMFT 95075
Provider Business Mailing Address
First Line : 3855 N WEST AVE
Second Line :
City : FRESNO
State : CA
Zip : 93705-2759
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3855 N WEST AVE
Second Line :
City : FRESNO
State : CA
Zip : 93705-2759
Country : US
Telephone Number : 559-274-0299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2010
Last Update Date : 09/16/2020

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