MEDICARE: PATRICIA BEHRENS LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	50501	CA

General Provider Information

NPI Number	:	1184062903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA BEHRENS LMFT

Provider Business Mailing Address
First Line	:	PO BOX 27343
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93729-7343
Country	:	US
Telephone Number	:	559-577-3994
Fax Number	:

Provider Business Practice Location Address
First Line	:	7944 N MAPLE AVE STE 107
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-0291
Country	:	US
Telephone Number	:	559-577-3994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2013
Last Update Date	:	06/14/2013

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Directions to “ PATRICIA BEHRENS LMFT” Practice Location

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