| Visalia Youth Services | |
|
711 N Court St Visalia CA 93291-3638 | |
| (559) 627-1490 | |
| (559) 627-1405 |
| Full Name | Visalia Youth Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 711 N Court St, Visalia, California |
| Authorized Official Name and Position | Ivan Rodriguez (PROGRAM DIRECTOR) |
| Authorized Official Contact | 5596271490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Visalia Youth Services 711 N Court St Ste B Visalia CA 93291-3638 Ph: (559) 627-1490 | Visalia Youth Services 711 N Court St Visalia CA 93291-3638 Ph: (559) 627-1490 |
| NPI Number | 1316077910 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 09/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316077910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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