Healthcare Provider Details

I. General information

NPI: 1013782838
Provider Name (Legal Business Name): YER VUE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2023
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 TULARE ST
FRESNO CA
93721-2287
US

IV. Provider business mailing address

2309 TULARE ST
FRESNO CA
93721-2287
US

V. Phone/Fax

Practice location:
  • Phone: 559-457-3000
  • Fax: 559-457-3000
Mailing address:
  • Phone: 559-457-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number121685
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number121685
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number121685
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: