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NPI 1518993948

NPI 1518993948 : BARBARA L. SEGRESS L.M.F.T. : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1518993948
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA L. SEGRESS L.M.F.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/25/2006
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    Last Update Date     |    01/06/2020
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Provider Practice Location Address
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    Address Line         |    2565 E PERRIN AVE STE 109 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-5203
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    Country              |    US
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    Telephone            |    559-322-6999
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    Fax                  |    559-475-0413
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Provider Business Mailing Address
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    Address Line         |    9512 N SHARON AVE 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-1420
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    Country              |    US
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    Telephone            |    559-322-6999
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    Fax                  |    559-475-0413
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFC# 15925
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    License Number State |    CA
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