Healthcare Provider Details

I. General information

NPI: 1023992195
Provider Name (Legal Business Name): GABRIELA ZENDEJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

882 W HENDERSON AVE
PORTERVILLE CA
93257-1774
US

IV. Provider business mailing address

882 W HENDERSON AVE
PORTERVILLE CA
93257-1774
US

V. Phone/Fax

Practice location:
  • Phone: 559-342-9055
  • Fax:
Mailing address:
  • Phone: 559-342-9055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number20437
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: