Provider Demographics
NPI:1215379722
Name:NAVARRO, JOSE LOUIE (MFCT)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:LOUIE
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:MFCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7916 GREY TEAL ST
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-3709
Mailing Address - Country:US
Mailing Address - Phone:702-339-1478
Mailing Address - Fax:
Practice Address - Street 1:6877 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1600
Practice Address - Country:US
Practice Address - Phone:702-331-4874
Practice Address - Fax:702-446-8034
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health