MAYRA FERNANDA MARAVILLA-RODRIGUEZ
NPI 1629740501
Counselor in Fresno, CA

Active since September 29, 2021
3451 W SHAW AVE STE 101, FRESNO, CA 93711(559) 457-6960 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mayra Fernanda Maravilla-rodriguez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYRA FERNANDA MARAVILLA-RODRIGUEZ (NPI 1629740501) is an individual counselor in Fresno, California and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1629740501
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMAYRA FERNANDA MARAVILLA-RODRIGUEZ
Location Address3451 W SHAW AVE STE 101Fresno, CA 93711-3242
Mailing AddressPo Box 1559Bakersfield, CA 93302-1559
Sole ProprietorNo
Enumeration DateSeptember 29, 2021
NPPES CertifiedSeptember 29, 2021
NPI 1629740501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3451 W SHAW AVE STE 101, Fresno, CA 93711

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
3451 W SHAW AVE STE 101
FRESNO, CA 93711
Counselor
3451 W SHAW AVE STE 101
FRESNO, CA 93711
Student in an Organized Health Care Education/Training Program
3451 W SHAW AVE STE 101
FRESNO, CA 93711
Counselor
3451 W SHAW AVE STE 101
FRESNO, CA 93711
Counselor
3451 W SHAW AVE STE 101
FRESNO, CA 93711
Counselor (Mental Health)
3451 W SHAW AVE STE 101
FRESNO, CA 93711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629740501, enumerated as an "individual" on September 29, 2021.

The provider is located at 3451 W SHAW AVE STE 101 FRESNO, CA 93711 and the phone number is (559) 457-6960.

Counselor with taxonomy code 101Y00000X.