Provider Demographics
NPI:1275395345
Name:SANGHERA, AVJEET KAUR
Entity Type:Individual
Prefix:
First Name:AVJEET
Middle Name:KAUR
Last Name:SANGHERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 BEAVER POND LOOP
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-9057
Mailing Address - Country:US
Mailing Address - Phone:559-473-3193
Mailing Address - Fax:
Practice Address - Street 1:7555 N DEL MAR AVE STE 206
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-6880
Practice Address - Country:US
Practice Address - Phone:559-824-3779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT143118106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist