Provider Demographics
NPI:1881167930
Name:NAVEJAS, JOHN MOSES RODRIGUEZ (MS, AMFT 105234)
Entity type:Individual
Prefix:
First Name:JOHN MOSES
Middle Name:RODRIGUEZ
Last Name:NAVEJAS
Suffix:
Gender:M
Credentials:MS, AMFT 105234
Other - Prefix:
Other - First Name:JOHN
Other - Middle Name:RODRIGUEZ
Other - Last Name:NAVEJAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, AMFT 105234
Mailing Address - Street 1:2000 BAKER ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93305-3061
Mailing Address - Country:US
Mailing Address - Phone:661-903-3001
Mailing Address - Fax:
Practice Address - Street 1:2000 BAKER ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-3061
Practice Address - Country:US
Practice Address - Phone:661-873-4927
Practice Address - Fax:661-325-3929
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105234101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health