Erica Avina

Individual provider Active NPI Marriage & Family Therapist · Selma, CA

NPI 1104090570 · NPPES record last updated Feb 25, 2021

Key facts

NPI
1104090570
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
52579 (CA)
Practice address
2020 High St Ste E
Selma, CA 93662-3518
Phone
(559) 443-4800
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
52579CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno County Superintendent of Schools Current
since Mar 4, 2021
Accepting new patients
Fresno County Superintendent of Schools Past
since Mar 4, 2021
Accepting new patients
Fresno County Superintendent of Schools Past
since Jan 31, 2021
Accepting new patients

Locations

2440 Tulare St
Ste 200
Fresno, CA 93721
Phone (559) 265-3089

2020 High St
Ste E
Selma, CA 93662
Phone (559) 443-8000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 52579 CA Yes

Addresses

Primary practice location

2020 High St Ste E
Selma, CA 93662-3518

Mailing address

2440 Tulare St Ste 200
Fresno, CA 93721-2281
Phone (559) 443-4800

Other practice location 1

614 N St
Sanger, CA 93657-2425
Phone (559) 997-6577

Other practice location 2

614 N St
Sanger, CA 93657-2425
Phone (559) 997-6577

Other practice location 3

2440 Tulare St Ste 200
Fresno, CA 93721
Phone (559) 265-3092

Other practice location 4

121 Belmont Ave
Mendota, CA 93640-8232
Phone (559) 443-4800

Other practice location 5

2560 W Shaw Ln Ste 104
Fresno, CA 93711-2777
Phone (559) 443-4800

Other practice location 6

2280 N Valentine Ave
Fresno, CA 93722-5553
Phone (559) 443-4800

Other providers in Selma, CA

All providers in Selma, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.