MEDICARE: MISS AMANDA IRENE NAJERA 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	171M00000X	Case Manager/Care Coordinator
2	106H00000X	Marriage & Family Therapist	51916

General Provider Information

NPI Number	:	1588838783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS AMANDA IRENE NAJERA LMFT

Provider Business Mailing Address
First Line	:	7120 N MARKS AVE STE 110
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-0268
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7120 N MARKS AVE STE 110
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-0268
Country	:	US
Telephone Number	:	559-439-5437
Fax Number	:

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

Provider Enumeration Date	:	04/17/2008
Last Update Date	:	01/24/2025

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