MEDICARE: MR. DONALD MARK KRIKORIAN 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	LMFT29114	CA

General Provider Information

NPI Number	:	1255495586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD MARK KRIKORIAN LMFT

Provider Business Mailing Address
First Line	:	1396 W HERNDON AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711
Country	:	US
Telephone Number	:	559-430-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1396 W HERNDON AVE # 118
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-7126
Country	:	US
Telephone Number	:	559-430-4000
Fax Number	:

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

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	05/08/2023

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