Healthcare Provider Details

I. General information

NPI: 1427721265
Provider Name (Legal Business Name): JANET VIERRA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2021
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 B ST
LIVINGSTON CA
95334-9593
US

IV. Provider business mailing address

3433 W SHAW AVE STE 102
FRESNO CA
93711-3229
US

V. Phone/Fax

Practice location:
  • Phone: 209-850-3500
  • Fax:
Mailing address:
  • Phone: 209-312-8008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number141895
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: