Healthcare Provider Details

I. General information

NPI: 1033737846
Provider Name (Legal Business Name): KRISTEN MADSON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN MADSON

II. Dates (important events)

Enumeration Date: 07/08/2020
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 FRESNO ST
FRESNO CA
93721-1722
US

IV. Provider business mailing address

2011 FRESNO ST
FRESNO CA
93721-1722
US

V. Phone/Fax

Practice location:
  • Phone: 559-457-6088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number110359
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number230048317
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: