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NPI Code Detail

MEDICARE: DIANA CRUZ REYES AMFT

MEDICARE: DIANA CRUZ REYES AMFT
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
1101Y00000XCounselor
2106H00000XMarriage & Family TherapistLMFT161184CA

General Provider Information

NPI Number : 1386192631
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA CRUZ REYES AMFT
Provider Business Mailing Address
First Line : 2719 N AIR FRESNO DR
Second Line :
City : FRESNO
State : CA
Zip : 93727-1547
Country : US
Telephone Number : 559-600-6786
Fax Number :
Provider Business Practice Location Address
First Line : 2719 N AIR FRESNO DR
Second Line :
City : FRESNO
State : CA
Zip : 93727-1547
Country : US
Telephone Number : 559-600-6786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2016
Last Update Date : 03/03/2026

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Directions to “ DIANA CRUZ REYES AMFT” Practice Location

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