Individual provider · Type 1 NPI

Jesse Banuelos

Mental Health Counselor · Madera, CA

NPI number 1174186928 Active

Practice location

10535 Road 35
Madera, CA 93636-8487

Mailing address

2610 W Shaw Ln Ste 105
Fresno, CA 93711-2775

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1174186928

Jesse Banuelos's National Provider Identifier is 1174186928, issued on Apr 17, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madera, CA. The record was last updated on Apr 17, 2019.