RAISA BALLESTEROS ASW NPI 1033528179

NPI Information

NPI: 1033528179
Provider Name: RAISA BALLESTEROS, ASW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2195 UNION AVE
FAIRFIELD, CA
ZIP 94533
Phone: (707) 422-0464
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Raisa Ballesteros, ASW is a mental health counselor in Fairfield, CA. Raisa Ballesteros, ASW NPI is 1033528179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2195 UNION AVE
FAIRFIELD, CA
ZIP 94533-240
Phone: (707) 422-0464

The enumeration date for this NPI number is 8/2/2014 and was last updated on 8/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	101YM0800X	Counselor	Mental Health			No
3	101YM0800X	Counselor	Mental Health	ASW 72375	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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