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NPI Code Detail

MEDICARE: WILLIE JAMELE MUHAMMAD

MEDICARE: WILLIE JAMELE MUHAMMAD
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 TherapistIMF112086CA
2106H00000XMarriage & Family Therapist142910CA
3101YM0800XMental Health Counselor
4101YA0400XAddiction (Substance Use Disorder) Counselor
5106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1386159499
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIE JAMELE MUHAMMAD
Provider Business Mailing Address
First Line : 2514 N WHITTIER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93727-1462
Country : US
Telephone Number :
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 : 559-270-7037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2017
Last Update Date : 02/25/2026

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