Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marc C Antonio

Individual provider Marriage & Family Therapist · NPI 1679043442

Marc C Antonio is a Marriage and Family Therapist in Fresno, California. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018

Practice location Address checks out

1300 W Shaw Ave Ste 3A
Fresno, CA 93711-3712
Phone: (559) 245-2468
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT124951 (CA)

Record details

NPI number1679043442
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 4, 2018
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address373 E Shaw Ave # 135, Fresno, CA 93710-7609

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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