Tosha R Dearbone, CHW

Individual provider Active NPI Community Health Worker · Fresno, TX

NPI 1497579072 · NPPES record last updated Nov 11, 2024

Key facts

NPI
1497579072
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
License
7688 (TX)
Practice address
1215 Lantana Estates CT
Fresno, TX 77545-8640
Phone
(832) 865-6582
NPI assigned
Nov 11, 2024
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
7688TXMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 7688 TX Yes

Addresses

Primary practice location

1215 Lantana Estates CT
Fresno, TX 77545-8640

Mailing address

1215 Lantana Estates CT
Fresno, TX 77545-8640
Phone (832) 865-6582

Other providers in Fresno, TX

All providers in Fresno, TX · Community Health Worker in Texas

Sources for this page

Verify at the official NPI Registry.