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General NPI Number Information
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NPI Number | 1740071950
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Entity Type | Individual
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Provider Name | YESENIA JAZMIN BARRERA
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1700 MCHENRY VILLAGE WAY STE 11B
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City | MODESTO
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State | CA
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Zip | 95350-4341
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Country | US
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Telephone | 209-550-5850
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Fax |
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Provider Business Mailing Address
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Address Line | 9880 DANELLE CT
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City | DELHI
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State | CA
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Zip | 95315-9363
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Country | US
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Telephone | 209-535-6423
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | CA
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