Provider Demographics
NPI:1689413916
Name:SCOTT, YESENIA
Entity type:Individual
Prefix:
First Name:YESENIA
Middle Name:
Last Name:SCOTT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:413 W BURLWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-1909
Mailing Address - Country:US
Mailing Address - Phone:831-582-7979
Mailing Address - Fax:
Practice Address - Street 1:1278 MESA ST
Practice Address - Street 2:
Practice Address - City:SOLEDAD
Practice Address - State:CA
Practice Address - Zip Code:93960-3132
Practice Address - Country:US
Practice Address - Phone:831-582-7979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes374J00000XNursing Service Related ProvidersDoula