Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeremiah David Sisco-Asencio II

Individual provider Mental Health Counselor · NPI 1083098859

Mr. Jeremiah David Sisco-Asencio II is a Mental Health Counselor in Fresno, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

4411 E Kings Canyon Rd # 319
Fresno, CA 93702-3604
Phone: (559) 600-2382
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 225561 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 225561 (CA)

Record details

NPI number1083098859
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2015
Last updated in NPPESJanuary 5, 2023
Certification dateJanuary 5, 2023

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