Healthcare Provider Details

I. General information

NPI: 1396478590
Provider Name (Legal Business Name): VERONICA MARIE DUARTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1813 MULBERRY WAY
HUGHSON CA
95326-9579
US

IV. Provider business mailing address

1813 MULBERRY WAY
HUGHSON CA
95326-9579
US

V. Phone/Fax

Practice location:
  • Phone: 209-542-3858
  • Fax:
Mailing address:
  • Phone: 209-542-3858
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number157549
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: