Provider Demographics
NPI:1457796591
Name:SALDANA, OCTAVIO ARROYO (LCSW)
Entity Type:Individual
Prefix:MR
First Name:OCTAVIO
Middle Name:ARROYO
Last Name:SALDANA
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 5092
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83303-5092
Mailing Address - Country:US
Mailing Address - Phone:208-490-4648
Mailing Address - Fax:
Practice Address - Street 1:1092 EASTLAND DR N
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-8442
Practice Address - Country:US
Practice Address - Phone:208-490-4648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-02
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-366431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical