Provider Demographics
NPI:1407441397
Name:SALAZAR URENO, MARIA ROSARIO (AMFT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ROSARIO
Last Name:SALAZAR URENO
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:SALAZAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2010 N FINE AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-1558
Mailing Address - Country:US
Mailing Address - Phone:559-457-6976
Mailing Address - Fax:559-256-5733
Practice Address - Street 1:2010 N FINE AVE STE 105
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-1558
Practice Address - Country:US
Practice Address - Phone:559-457-6976
Practice Address - Fax:559-256-5733
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT123662106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist