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NPI Code Detail

MEDICARE: ANGELICA LIMON LMFT

MEDICARE: ANGELICA LIMON 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
1106H00000XMarriage & Family TherapistLMFT113367CA

General Provider Information

NPI Number : 1265897318
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA LIMON LMFT
Provider Business Mailing Address
First Line : 559 W INDIANAPOLIS AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93612-4968
Country : US
Telephone Number : 559-392-7113
Fax Number :
Provider Business Practice Location Address
First Line : 2514 N WHITTIER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93727-1462
Country : US
Telephone Number : 559-276-2758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2015
Last Update Date : 01/06/2025

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