Provider Demographics
NPI:1235271230
Name:OCHOA, JOSE B (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:B
Last Name:OCHOA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 S ATWOOD ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-8302
Mailing Address - Country:US
Mailing Address - Phone:559-732-8086
Mailing Address - Fax:559-738-8195
Practice Address - Street 1:625 S. ATWOOD ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-8302
Practice Address - Country:US
Practice Address - Phone:559-732-8086
Practice Address - Fax:559-738-8195
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS152701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical