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

Mrs. Patrice E Agredano

Individual provider Marriage & Family Therapist · NPI 1053504472

Mrs. Patrice E Agredano is a Marriage and Family Therapist in Davis, California. Qualified in 2008, 18 years ago. Practices with Lumen Health and Psychological Services Inc, a 25-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2007
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Practice location Address checks out

212 I St
Davis, CA 95616-4213
Phone: (530) 601-5959
Fax: (916) 287-4679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401b Vernon Street, Roseville, CA 95678-9567 — (916) 581-0054

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 102263 (CA)

Record details

NPI number1053504472
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2007
Last updated in NPPESAugust 15, 2019
Mailing address1451 Rocky Ridge Dr Apt 1109, Roseville, CA 95661-3007

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Lumen Health And Psychological Services Inc. — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Davis