MISS AJUANA CLEMENTS (NPI# 1902201338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902201338 |
| Entity Type | Individual |
| Full Name | MISS AJUANA CLEMENTS |
| Practice Address |
556 Cohasset Rd Chico CA 95926-2212 |
| Practice Telephone | 5308912986 |
| Mailing Telephone | 5308912986 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
556 COHASSET RD |
| City | CHICO |
| State | CA |
| Zip Code | 95926-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932552072 | Willow Glen Care Center | Community Based Residential Treatment Facility, Mental Illness | 556 Cohasset Rd, Chico, CA 95926-2212 | 2016-07-13 |
| 1881084465 | Christina Mcnicol | Health Educator | 556 Cohasset Rd, Chico, CA 95926-2212 | 2015-02-03 |
| 1578961678 | Holley Lorie Estrada | Counselor | 556 Cohasset Rd, Chico, CA 95926-2212 | 2014-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962912642 | Alberta Caldwell | Counselor | 560 Cohasset Rd Ste 140, Chico, CA 95926-2281 | 2017-10-06 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| 1710303722 | Timothy D Stephens | Counselor | 592 Manzanita Ave, Chico, CA 95926-1323 | 2014-03-14 |
| 1285981753 | Cathi Marie Schmitz | Counselor | 3105 Esplanade, Chico, CA 95973-0202 | 2012-08-14 |
| 1902153471 | Debora Elaine Mcrae | Counselor | 40 Landing Cir, Chico, CA 95973-7901 | 2012-08-14 |
| 1205183761 | David Brian Burke | Counselor | 40 Landing Cir Ste 1, Chico, CA 95973-7901 | 2012-08-14 |
| 1366751851 | Marla Marie Hooper | Counselor | 2445 Almandor Cir Apt 2, Chico, CA 95926-1061 | 2010-09-30 |
| 1174765689 | Corinne Mehri Jenab | Counselor | 590 Rio Lindo Ave., Chico, CA 95926 | 2009-03-30 |
| 1326288523 | Mike Paul Visconti | Counselor | 4133 Highway 32, Chico, CA 95973 | 2009-02-27 |
| 1245443027 | Laurie Rae Engel | Counselor | 564 Rio Lino Ave Suite 204, Chico, CA 95926 | 2007-05-08 |
| Find all providers in CHICO | ||||
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| 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.