Francisco Antonio Bedolla

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

NPI 1760111561 · NPPES record last updated Sep 20, 2023

Key facts

NPI
1760111561
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
AMFT140739 (CA)
Practice address
516 N Kaweah Ave
Exeter, CA 93221-1200
Phone
(559) 594-4969
Fax
(844) 303-5247
NPI assigned
Jun 7, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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
AMFT140739CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Horizon Mental Health Past
since Jun 1, 2022
Accepting new patients
Tulare County Office of Education Past
since Oct 29, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT140739 CA Yes

Addresses

Primary practice location

516 N Kaweah Ave
Exeter, CA 93221-1200

Mailing address

516 N Kaweah Ave
Exeter, CA 93221-1200
Phone (559) 594-4969

Other providers in Exeter, CA

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

Sources for this page

Verify at the official NPI Registry.