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NPI Code Detail

MEDICARE: KATHERINE MARTINEZ REXROAT L.M.F.T.

MEDICARE: KATHERINE MARTINEZ REXROAT L.M.F.T.
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 TherapistMFC 48998CA

General Provider Information

NPI Number : 1902115496
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MARTINEZ REXROAT L.M.F.T.
Provider Business Mailing Address
First Line : 5260 N PALM AVE STE 300
Second Line :
City : FRESNO
State : CA
Zip : 93704-2210
Country : US
Telephone Number : 559-600-6954
Fax Number :
Provider Business Practice Location Address
First Line : 1925 E DAKOTA AVE
Second Line :
City : FRESNO
State : CA
Zip : 93726-4821
Country : US
Telephone Number : 559-600-4645
Fax Number : 559-455-4633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2010
Last Update Date : 02/27/2026

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