Provider Demographics
NPI:1912263070
Name:MUWANGA, MESHA (LMFT)
Entity Type:Individual
Prefix:
First Name:MESHA
Middle Name:
Last Name:MUWANGA
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 1:5701 EDGEMONT DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-5765
Mailing Address - Country:US
Mailing Address - Phone:661-735-5450
Mailing Address - Fax:661-735-5451
Practice Address - Street 1:4949 BUCKLEY WAY STE 113
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-4881
Practice Address - Country:US
Practice Address - Phone:661-735-5450
Practice Address - Fax:661-735-5451
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-03
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA112381101YA0400X, 261QM0850X
106H00000X, 390200000X
CAIMF78640106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program