Healthcare Provider Details

I. General information

NPI: 1003944984
Provider Name (Legal Business Name): YADIRA AMIAL-COTA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YADIRA AMIAL LMFT

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 5TH ST STE A
CLOVIS CA
93612-1058
US

IV. Provider business mailing address

1702 E BULLARD AVE SUITE 102
FRESNO CA
93710-5800
US

V. Phone/Fax

Practice location:
  • Phone: 559-974-5510
  • Fax: 559-446-1942
Mailing address:
  • Phone: 559-974-5510
  • Fax: 559-446-1942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 44051
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: