=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760115414
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JASLEEN KAUR
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2022
-----------------------------------------------------
Last Update Date | 06/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 49370 ROAD 426 STE B
-----------------------------------------------------
City | OAKHURST
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93644-9052
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-641-6321
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 49370 ROAD 426 STE B
-----------------------------------------------------
City | OAKHURST
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93644-9052
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | 17239
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | 153401
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------