Healthcare Provider Details

I. General information

NPI: 1316810948
Provider Name (Legal Business Name): JESSENIA LANDECHO GUZELDERE PPSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 10/24/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2376 NORTH AVE
CHICO CA
95926-1434
US

IV. Provider business mailing address

1163 E 7TH ST
CHICO CA
95928-5999
US

V. Phone/Fax

Practice location:
  • Phone: 530-891-3080
  • Fax:
Mailing address:
  • Phone: 530-891-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: