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NPI Code Detail

MEDICARE: DAWN DENISE DE LA MATER HUXLEY LMFT

MEDICARE: DAWN DENISE DE LA MATER HUXLEY 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
1101YA0400XAddiction (Substance Use Disorder) Counselor7951CA
2106H00000XMarriage & Family Therapist146033CA

General Provider Information

NPI Number : 1245487495
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN DENISE DE LA MATER HUXLEY LMFT
Provider Business Mailing Address
First Line : 180 W BULLARD AVE STE 102
Second Line :
City : CLOVIS
State : CA
Zip : 93612-0998
Country : US
Telephone Number : 559-321-2322
Fax Number : 559-326-0607
Provider Business Practice Location Address
First Line : 1653 N SCHNOOR AVE STE 111
Second Line :
City : MADERA
State : CA
Zip : 93637-3613
Country : US
Telephone Number : 559-751-0041
Fax Number : 559-326-0607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2008
Last Update Date : 02/05/2026

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Directions to “ DAWN DENISE DE LA MATER HUXLEY LMFT” Practice Location

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