What is Jalisa Vinson's NPI number?

The NPI number assigned to this healthcare provider is 1386173409, enumerated as a individual on June 12, 2017.

Where is the provider located?

The provider is located at 2550 W CLINTON AVE BLDG W FRESNO, CA 93705 and the phone number is (559) 264-7521.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

JALISA JESSI VINSON - NPI 1386173409 - Counselor in Fresno, CA

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About Jalisa Jessi Vinson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JALISA JESSI VINSON (NPI 1386173409) is an individual counselor in Fresno, California and active in the NPI registry since June 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386173409

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJALISA JESSI VINSON

Location Address2550 W CLINTON AVE BLDG WFresno, CA 93705-4206

Mailing Address2550 W Clinton Ave Bldg WFresno, CA 93705-4206

Phone(559) 264-7521

Sole ProprietorNo

Enumeration DateJune 12, 2017

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2020

✔ NPI 1386173409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

2550 W CLINTON AVE BLDG W, Fresno, CA 93705

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