| Visalia Youth Services | |
|
109 Nw 2nd Ave Visalia CA 93291-3672 | |
| (559) 627-1490 | |
| (559) 627-1405 |
| Full Name | Visalia Youth Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 109 Nw 2nd Ave, Visalia, California |
| Authorized Official Name and Position | Anthony J. Mendoza (MENTAL HEALTH REHAB.- COUNSELOR) |
| Authorized Official Contact | 5596271490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Visalia Youth Services 109 Nw 2nd Ave Visalia CA 93291-3672 Ph: (559) 627-1490 | Visalia Youth Services 109 Nw 2nd Ave Visalia CA 93291-3672 Ph: (559) 627-1490 |
| NPI Number | 1497883540 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497883540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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