Healthcare Provider Details

I. General information

NPI: 1366151722
Provider Name (Legal Business Name): MEGAN VELO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

374 VERMONT AVE
CLOVIS CA
93619-7513
US

IV. Provider business mailing address

374 VERMONT AVE
CLOVIS CA
93619-7513
US

V. Phone/Fax

Practice location:
  • Phone: 559-250-0438
  • Fax:
Mailing address:
  • Phone: 559-250-0438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: