DEJA MARIE VELASQUEZ (NPI# 1194295683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194295683 |
| Entity Type | Individual |
| Full Name | DEJA MARIE VELASQUEZ |
| Practice Address |
2772 S. Martin Luther King Jr. Blvd. Fresno CA 93705 |
| Practice Telephone | 5592654800 |
| Mailing Telephone | 5592654800 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2772 S. MARTIN LUTHER KING JR. BLVD. |
| City | FRESNO |
| State | CA |
| Zip Code | 93705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952800344 | Maria Del Rosario Marin | Counselor | 2550 W. Clinton Ave., Fresno, CA 93705 | 2018-02-12 |
| 1326293978 | Sueann Vial | Marriage & Family Therapist | 4545 N. West Ave, Fresno, CA 93705 | 2008-11-24 |
| 1396227757 | Raul Prado Jr. | Marriage & Family Therapist | 4545 N West Ave, Fresno, CA 93705 | 2018-09-02 |
| 1538645353 | Amabelle Shayeghi Marquez | Dentist | 1255 W Shields Ave, Fresno, CA 93705 | 2018-07-15 |
| 1114443165 | Melissa De Benedetto | Marriage & Family Therapist | 4545 N. West Ave., Fresno, CA 93705 | 2017-08-21 |
| 1033630421 | Lorena Soledad Dominguez | Marriage & Family Therapist | 4545 N. West Ave., Fresno, CA 93705 | 2017-07-06 |
| 1730634635 | Mental Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 2550 W Clinton Ave, Fresno, CA 93705 | 2016-08-20 |
| 1558747261 | Cameron Hilaire | Counselor | 2550 W Clinton Ave, Fresno, CA 93705 | 2015-08-04 |
| 1568858280 | Robin Lynn Ruby | Counselor | 2550 W Clinton Ave, Fresno, CA 93705 | 2015-04-09 |
| 1023370350 | Stacie A Baum | Marriage & Family Therapist | 4545 N West Ave, Fresno, CA 93705 | 2012-06-12 |
| Find all providers in zip 93705 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1649807694 | Debbie Jeneen Darden | Counselor | 891 W Kearney Blvd, Fresno, CA 93706-2514 | 2020-03-26 |
| 1205466802 | Elizabeth C Esqueda | Counselor | 804 S Parallel Ave, Fresno, CA 93721-2404 | 2020-01-22 |
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1831669951 | Ashlee Faith Vasquez | Counselor | 1900 N Gateway Blvd Ste 100, Fresno, CA 93727-1622 | 2018-12-01 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.