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Justin Carrasco, PPS

Counselor, School in Fresno, CA. Individual provider (NPI-1).

NPI number1508024779
StatusActive
Last updated in NPPESSep 1, 2026

Details

NPI
1508024779
Entity type
Individual (NPI-1)
Name
Justin Carrasco
Credential
PPS
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2008
Certification date
Sep 1, 2026
Last updated
Sep 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YS0200X Counselor, School230119080CAYes

Practice location

3232 E Fairmont Ave
Fresno, CA 93726-0607

Phone 559-248-7280

Mailing address

3232 E Fairmont Ave
Fresno, CA 93726-0607

Phone 559-248-7280

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