Jayson Cabuslay

Individual provider Active NPI Mental Health Counselor · Ceres, CA

NPI 1497154306 · NPPES record last updated Aug 15, 2014

Key facts

NPI
1497154306
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1904 Richland Ave
Ceres, CA 95307-4562
Phone
(209) 300-8800
NPI assigned
Aug 15, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1904 Richland Ave
Ceres, CA 95307-4562

Mailing address

1904 Richland Ave
Ceres, CA 95307-4562

Other providers in Ceres, CA

All providers in Ceres, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.