Provider Demographics
NPI:1952846529
Name:TOLENTO, VIRGINIA JUANITA (CAODC)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:JUANITA
Last Name:TOLENTO
Suffix:
Gender:F
Credentials:CAODC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3715 COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-2719
Mailing Address - Country:US
Mailing Address - Phone:661-868-7153
Mailing Address - Fax:661-868-7172
Practice Address - Street 1:942 S SANTA FE ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-2912
Practice Address - Country:US
Practice Address - Phone:559-636-4000
Practice Address - Fax:559-624-1067
Is Sole Proprietor?:No
Enumeration Date:2017-01-05
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAT1404281149101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)