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Raisa Ballesteros, ASW
Mental Health Counselor in Fairfield, California
NPI 1033528179

Raisa Ballesteros is a Mental Health Counselor based in Fairfield, CA and is specialized in Mental Health. Raisa Ballesteros practices in Fairfield, CA and has the professional credentials of ASW. The NPI Number for Raisa Ballesteros is 1033528179 and holds a License No. (California).

The current practice location address for Raisa Ballesteros is 2195 Union Ave, Fairfield, CA and can be reached out via phone at 707-422-0464.

Location: 2195 Union Ave, Fairfield, CA, 94533-3240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033528179
Provider Name
Raisa Ballesteros
Credential
ASW
Provider Entity Type
Individual
Gender
Female
Address
2195 Union Ave, Fairfield, CA, 94533-3240
Phone Number
707-422-0464
Fax Number
Provider Enumeration Date
08/02/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2195 Union Ave
City
Fairfield
State
California
Zip
94533-3240
Phone Number
707-422-0464
Fax Number
person
Provider Business Mailing Address Details
Address
2195 Union Ave
City
Fairfield
State
California
Zip
94533-3240
Phone Number
707-422-0464
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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