Healthcare Provider Details

I. General information

NPI: 1710373501
Provider Name (Legal Business Name): DAMARIS CLAUDIA MUNOZ BELLO M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35263 MARCIEL AVE
MADERA CA
93636-8415
US

IV. Provider business mailing address

35263 MARCIEL AVE
MADERA CA
93636-8415
US

V. Phone/Fax

Practice location:
  • Phone: 559-840-5971
  • Fax:
Mailing address:
  • Phone: 559-840-5971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number118330
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: