Provider Demographics
NPI:1326374943
Name:ESCAMILLA, NOHEMI G (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:NOHEMI
Middle Name:G
Last Name:ESCAMILLA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5848 E FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-6519
Mailing Address - Country:US
Mailing Address - Phone:559-252-1543
Mailing Address - Fax:
Practice Address - Street 1:1357 WEST SHAW AVE #103
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711
Practice Address - Country:US
Practice Address - Phone:559-908-7453
Practice Address - Fax:559-252-1543
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC43994106H00000X
CALMFT43994106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist