Healthcare Provider Details

I. General information

NPI: 1720838220
Provider Name (Legal Business Name): VERNESSA VIVIAN BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VERNESSA VIVIAN YOUNG

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 N CHESTER AVE
BAKERSFIELD CA
93308-1770
US

IV. Provider business mailing address

PO BOX 1000
BAKERSFIELD CA
93302-1000
US

V. Phone/Fax

Practice location:
  • Phone: 661-868-6600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17501
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: