Jesse Unsiog Baleto, MSW
Individual provider Active NPI Mental Health Counselor · Tamuning, GU
NPI 1457734022 · NPPES record last updated Jul 1, 2015
Key facts
- NPI
- 1457734022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- IMF-140 (GU)
- Practice address
- 1244 N Marine Corps Dr
Suite 101
Tamuning, GU 96913-4308 - Phone
- (671) 647-8262
- Fax
- (671) 647-8257
- NPI assigned
- Jul 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF-140 | GU | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Medical Center, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF-140 | GU | Yes |
Addresses
Primary practice location
1244 N Marine Corps Dr
Suite 101
Tamuning, GU 96913-4308
Mailing address
244 N. Marine Corps. Drive
Suite 101
Tamuning, GU 96913
Phone (671) 646-6956
Other providers in Tamuning, GU
- Atlas Medivac LLC
- Russel J Aubin
- Judith Elizabeth Avery
- Sharon Azucena
- Arnie Lou Salazar Baker
- Dean Baugh
- BC RX Services
- Mary F Beckett
- Kirk Bellis
- Nathaniel Benjamin Berg
All providers in Tamuning, GU · Mental Health Counselor in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.