Provider Demographics
NPI:1093529307
Name:VALERIO, JESSE
Entity type:Individual
Prefix:
First Name:JESSE
Middle Name:
Last Name:VALERIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1344 E VINE CT
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-7352
Mailing Address - Country:US
Mailing Address - Phone:559-538-8243
Mailing Address - Fax:
Practice Address - Street 1:1344 E VINE CT
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-7352
Practice Address - Country:US
Practice Address - Phone:559-538-8243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)