Provider Demographics
NPI:1548382971
Name:FLEMING, BOKCHIN S (MFT)
Entity Type:Individual
Prefix:MS
First Name:BOKCHIN
Middle Name:S
Last Name:FLEMING
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 E AVENIDA DE LOS ARBOLES # D181
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-1361
Mailing Address - Country:US
Mailing Address - Phone:805-338-3993
Mailing Address - Fax:
Practice Address - Street 1:500 E ESPLANADE DR
Practice Address - Street 2:SUITE 860
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2110
Practice Address - Country:US
Practice Address - Phone:805-338-3993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 42361106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist