Mytzy Isidoro
Counselor, Professional in Fresno, CA. Individual provider (NPI-1).
NPI number1982163226
StatusActive
Last updated in NPPESSep 15, 2026
Details
- NPI
- 1982163226
- Entity type
- Individual (NPI-1)
- Name
- Mytzy Isidoro
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2019
- Certification date
- Sep 15, 2026
- Last updated
- Sep 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 12862 | CA | Yes |
| 106S00000X | Behavior Technician | – | – | |
| 101Y00000X | Counselor | – | – |
Practice location
2416 W Shaw Ave Ste 114Fresno, CA 93711-3303
Phone 559-558-4051
Mailing address
3433 W Shaw Ave Ste 102Fresno, CA 93711-3229
Phone 559-558-4051
Other practice locations
3433 W Shaw Ave Ste 102
Fresno, CA 93711-3229
Fresno, CA 93711-3229
Phone 559-374-3990
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