Individual
EDGAR MENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4205 W FIGARDEN DR, FRESNO, CA 93722-6051
(559) 221-1680
(559) 221-4336
Mailing address
4205 W FIGARDEN DR, FRESNO, CA 93722-6051
(559) 221-1680
(559) 221-4336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/18/2011
Last updated
04/10/2025
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