Healthcare Provider Details

I. General information

NPI: 1811662075
Provider Name (Legal Business Name): MRS. ALEYAH MONAE BURTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1470 W HERNDON AVE STE 300
FRESNO CA
93711-0552
US

IV. Provider business mailing address

3845 N CLARK ST STE 201
FRESNO CA
93726-4842
US

V. Phone/Fax

Practice location:
  • Phone: 559-256-2000
  • Fax:
Mailing address:
  • Phone: 559-621-2133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC10056
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: