MEDICARE: GLENDA JEAN HENDERSON-BALMET

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor	PPS	CA

General Provider Information

NPI Number	:	1922967876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLENDA JEAN HENDERSON-BALMET

Provider Business Mailing Address
First Line	:	18299 5TH AVE
Second Line	:
City	:	JAMESTOWN
State	:	CA
Zip	:	95327-9671
Country	:	US
Telephone Number	:	209-984-5217
Fax Number	:	209-984-0434

Provider Business Practice Location Address
First Line	:	18299 5TH AVE
Second Line	:
City	:	JAMESTOWN
State	:	CA
Zip	:	95327-9671
Country	:	US
Telephone Number	:	209-984-5217
Fax Number	:	209-984-0434

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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Directions to “ GLENDA JEAN HENDERSON-BALMET ” Practice Location

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