Provider Demographics
NPI:1346402336
Name:PRADO, NOE (LMFT)
Entity Type:Individual
Prefix:
First Name:NOE
Middle Name:
Last Name:PRADO
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 E CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-8842
Mailing Address - Country:US
Mailing Address - Phone:559-393-2631
Mailing Address - Fax:
Practice Address - Street 1:420 E CAMBRIDGE DR
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-8842
Practice Address - Country:US
Practice Address - Phone:559-393-2631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105345106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist