Provider Demographics
NPI:1336855675
Name:VELA, ISABEL (PASTOR, HERBOLOGIST)
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:VELA
Suffix:
Gender:F
Credentials:PASTOR, HERBOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1830 S MOONEY BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-4488
Mailing Address - Country:US
Mailing Address - Phone:559-667-3608
Mailing Address - Fax:
Practice Address - Street 1:3626 E VENTURA AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702-3252
Practice Address - Country:US
Practice Address - Phone:559-667-3608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist
No171400000XOther Service ProvidersHealth & Wellness Coach
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172P00000XOther Service ProvidersNaprapath
No172V00000XOther Service ProvidersCommunity Health Worker
No175F00000XOther Service ProvidersNaturopath
No175L00000XOther Service ProvidersHomeopath
No175T00000XOther Service ProvidersPeer Specialist
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No372600000XNursing Service Related ProvidersAdult Companion
No374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner