Provider Demographics
NPI:1659532612
Name:JDT CONSULTANTS INC
Entity Type:Organization
Organization Name:JDT CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:NYDIA
Authorized Official - Middle Name:EDITH
Authorized Official - Last Name:RODRIGUEZ-KARRERAH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, ASW
Authorized Official - Phone:559-221-1680
Mailing Address - Street 1:4205 W. FIGARDEN DRIVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722
Mailing Address - Country:US
Mailing Address - Phone:559-221-1680
Mailing Address - Fax:559-221-4336
Practice Address - Street 1:4205 W. FIGARDEN DRIVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722
Practice Address - Country:US
Practice Address - Phone:559-221-1680
Practice Address - Fax:559-221-4336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-23
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health