MS. BENJETTA YVETTE HARRISON


Address: 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839
Phone: 2095261476

MS. BENJETTA YVETTE HARRISON (NPI# 1790064657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790064657
Entity Type Individual
Full Name MS. BENJETTA YVETTE HARRISON
Practice Address 2000 W Briggsmore Ave
Suite I
Modesto
CA 95350-3839
Practice Telephone 2095261476
Practice Fax Number 2095260908
Mailing Telephone 2095261476
Mailing Fax Number 2095260908
Enumeration Date 2011-08-10
Last Update Date 2015-06-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 2000 W BRIGGSMORE AVE
SUITE I
City MODESTO
State CA
Zip Code 95350-3839

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437288222 Center for Human Services Community/Behavioral Health 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 2007-03-05
1134784887 Lourdes Santos-ortega Case Manager/Care Coordinator 2000 W Briggsmore Ave, Modesto, CA 95350-3839 2019-05-08
1851820708 Sharon Lizotte Counselor 2000 W Briggsmore Ave, Modesto, CA 95350-3839 2017-06-05
1255862884 Robert Plaugher Counselor 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 2017-03-24
1114390473 Maria Romero Case Manager/Care Coordinator 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 2015-11-09
1083012579 Julie Phillippi Counselor 2000 W Briggsmore Ave, Modesto, CA 95350-3839 2014-12-15
1841694981 Samantha Hosker Counselor 2000 W Briggsmore Ave, Ste. I, Modesto, CA 95350-3839 2014-10-17
1366845232 Moses Pacheco IIi Student in an Organized Health Care Education/Training Program 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 2014-10-06
1881095834 Natalie Talistu Silva Counselor 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 2014-09-09
1558772608 Peter Maldonado Counselor 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 2014-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020459 Karina Montes Rodriguez Case Manager/Care Coordinator Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 2020-10-09
1134737315 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 2057 Tully Road, Suite A, Modesto, CA 95350 2020-07-14
1588211254 Karla Junuen Toscano Licensed Vocational Nurse 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 2019-08-19
1831694769 Loretta Myers-weber Nurse Practitioner 1510 Florida Ave Ste A, Modesto, CA 95350 2018-03-23
1720599632 Coral Alejandra Amador Counselor 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 2017-10-18
1053820522 Pannu and Henne Dental Corp. Dentist 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 2017-09-27
1346779709 Kevin Sotelo Behavior Technician 2630 W Rumble Road, Modesto, CA 95350 2017-06-08
1255869566 Hoa Xuan Phan Family Medicine 1441 Florida Ave Ste 200, Modesto, CA 95350 2017-05-31
1356881163 Brady S Marshall Dentist 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 2017-02-27
1750755476 Caremore Health Plan Nurse Practitioner 1234 Mchenry Avenue, Modesto, CA 95350 2015-11-18
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063055812 Diana Harrison Counselor 1235 Mchenry Ave # A&b, Modesto, CA 95350-5370 2019-10-24
1710468095 Dominic Maurice Casaca Counselor 616 Perfidia Ave, Modesto, CA 95351-4135 2018-08-24
1659867513 Amalia Tapia Counselor 1235 Mchenry Ave Unit A&b, Modesto, CA 95350-5370 2018-07-03
1265934301 Ben Hopp Counselor 123 Mchenry Ave, Modesto, CA 95354-0541 2018-03-05
1447772488 Selenee Marie Flores Counselor 1235 Mchenry Ave # Ab, Modesto, CA 95350-5370 2017-07-12
1801325477 Holly Elizabeth Moore Counselor 2000 W Briggsmore Ave Ste 1, Modesto, CA 95350-3839 2017-06-07
1942737507 Gloria Edith Robles Counselor 3125 Mchenry Ave Ste D, Modesto, CA 95350-1451 2017-05-15
1184088668 Michelle Lucas Counselor 1421 Mosswood Ln, Modesto, CA 95355-1555 2016-04-11
1407229248 Roy Douglas Counselor 1235 Mcherney, A and B, Modesto, CA 95350-9411 2015-11-02
1639541394 Dynese Lee Addotta Counselor 1520 Goldenwood Dr, Modesto, CA 95350-3865 2015-10-21
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Competitor

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City MODESTO
Zip Code 95350

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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