Provider Demographics
NPI:1811019763
Name:CASAS, JUDITH M (LMFT)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:M
Last Name:CASAS
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 1:2190 N WINERY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-4812
Mailing Address - Country:US
Mailing Address - Phone:559-981-2109
Mailing Address - Fax:559-558-8999
Practice Address - Street 1:2190 N WINERY AVE STE 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-4812
Practice Address - Country:US
Practice Address - Phone:559-892-0049
Practice Address - Fax:559-558-8999
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 43759106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist