Provider Demographics
NPI:1396910360
Name:FEW, JOSEPH BOCAGE (LPC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:BOCAGE
Last Name:FEW
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5516 F ST APT B
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3432
Mailing Address - Country:US
Mailing Address - Phone:323-336-4836
Mailing Address - Fax:
Practice Address - Street 1:221 W 2ND ST STE 519
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-2505
Practice Address - Country:US
Practice Address - Phone:323-336-4836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171W00000X
AR1707334101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP1707334OtherLPC
AR1707334OtherNBCC- LPC