Provider Demographics
NPI:1184062903
Name:BEHRENS, PATRICIA (LMFT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:BEHRENS
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:PO BOX 27343
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-7343
Mailing Address - Country:US
Mailing Address - Phone:559-577-3994
Mailing Address - Fax:
Practice Address - Street 1:7944 N MAPLE AVE STE 107
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0291
Practice Address - Country:US
Practice Address - Phone:559-577-3994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50501106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist