Provider Demographics
NPI:1548076433
Name:MOONEY, WENDI L (LMFT)
Entity type:Individual
Prefix:
First Name:WENDI
Middle Name:L
Last Name:MOONEY
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 1:7080 N WHITNEY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0154
Mailing Address - Country:US
Mailing Address - Phone:559-492-7759
Mailing Address - Fax:
Practice Address - Street 1:1584 N CHERRY LN
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93619-7604
Practice Address - Country:US
Practice Address - Phone:559-492-7759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84413101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health