Healthcare Provider Details

I. General information

NPI: 1659532612
Provider Name (Legal Business Name): JDT CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 W. FIGARDEN DRIVE
FRESNO CA
93722
US

IV. Provider business mailing address

4205 W. FIGARDEN DRIVE
FRESNO CA
93722
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. NYDIA EDITH RODRIGUEZ-KARRERAH
Title or Position: PROGRAM MANAGER
Credential: MSW, ASW
Phone: 559-221-1680