Provider Demographics
NPI:1710252754
Name:SALAZAR, ARTURO MACLIZ (LAADC, MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:ARTURO
Middle Name:MACLIZ
Last Name:SALAZAR
Suffix:
Gender:M
Credentials:LAADC, MSW, 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 3513
Mailing Address - Street 2:
Mailing Address - City:DIAMOND SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95619-3513
Mailing Address - Country:US
Mailing Address - Phone:916-717-3594
Mailing Address - Fax:
Practice Address - Street 1:941 SPRING ST STE 5
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-4546
Practice Address - Country:US
Practice Address - Phone:530-409-2927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75000101Y00000X, 1041C0700X
CAS1301291433101YA0400X
CA107860101YM0800X, 1041C0700X
CA1902701381041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool