Healthcare Provider Details

I. General information

NPI: 1386562197
Provider Name (Legal Business Name): EILEEN J BARRAGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

547 W MAIN ST
MERCED CA
95340-4715
US

IV. Provider business mailing address

26982 FRISCO WAY
MADERA CA
93638-0318
US

V. Phone/Fax

Practice location:
  • Phone: 209-383-4242
  • Fax: 209-318-1380
Mailing address:
  • Phone: 209-383-4242
  • Fax: 209-318-1380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: