Provider Demographics
NPI:1891367298
Name:GARCIA-RESENDEZ, VANESSAH KRISTYNA
Entity Type:Individual
Prefix:
First Name:VANESSAH
Middle Name:KRISTYNA
Last Name:GARCIA-RESENDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1428 ANTIOCH CT
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-9105
Mailing Address - Country:US
Mailing Address - Phone:209-355-9161
Mailing Address - Fax:
Practice Address - Street 1:3360 N HIGHWAY 59 STE G-K
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-9404
Practice Address - Country:US
Practice Address - Phone:209-272-2374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health