Provider Demographics
NPI:1366691453
Name:REYES OCAMPO, ARTURO (LCSW)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:
Last Name:REYES OCAMPO
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:PO BOX 1424
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93613-1424
Mailing Address - Country:US
Mailing Address - Phone:559-825-1324
Mailing Address - Fax:559-408-5557
Practice Address - Street 1:55 SHAW AVE STE 115
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612
Practice Address - Country:US
Practice Address - Phone:559-825-1324
Practice Address - Fax:559-408-5557
Is Sole Proprietor?:No
Enumeration Date:2008-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CAASW-624401041C0700X
CALCSW768091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health