Healthcare Provider Details

I. General information

NPI: 1457722704
Provider Name (Legal Business Name): YADIRA HERRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2015
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 E CALIFORNIA AVE
FRESNO CA
93706-3736
US

IV. Provider business mailing address

4205 W FIGARDEN DR
FRESNO CA
93722-6051
US

V. Phone/Fax

Practice location:
  • Phone: 559-457-2681
  • Fax:
Mailing address:
  • Phone: 559-221-1680
  • Fax: 559-221-4336

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: