Provider Demographics
NPI:1811538879
Name:ALFREDO LOZANO, LMFT
Entity Type:Organization
Organization Name:ALFREDO LOZANO, LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:559-335-3808
Mailing Address - Street 1:2905 SW BRIGHT RD APT 21
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72713-4302
Mailing Address - Country:US
Mailing Address - Phone:559-335-3808
Mailing Address - Fax:
Practice Address - Street 1:3134 WILLOW AVE STE 103
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-4747
Practice Address - Country:US
Practice Address - Phone:559-335-3808
Practice Address - Fax:479-364-0018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty