Most Relevant Information
Provider Data
| NPI Number: | 1003660143 |
| Provider Name: | CASIA RAVI LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 141847 |
Most Important Dates
| Enumeration Date: | 04/15/2024 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
39155 LIBERTY ST STE E500
FREMONT
CA
945381516
Practice Location Phone/Fax
| Phone: | 5105742157 |
| Fax: |
Provider Mailing Location
39155 LIBERTY ST STE E500
FREMONT
CA
945381516
Provider Mailing Phone/Fax
| Phone: | 5105742157 |
| Fax: |