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Organization
FOOTSTEPS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Organization
FOOTSTEPS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Other names
Footsteps, Edna Health, Footsteps Children & Family Services, Footsteps Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
ARTURO REYES OCAMPO LCSW (CEO/CLINICAL DIRECTOR)
(559) 825-1324
Entity
Organization
Contact information
Practice address
55 SHAW AVE STE 115, CLOVIS, CA 93612
(559) 825-1324
(559) 408-5557
Mailing address
PO BOX 1424, CLOVIS, CA 93613-1424
(559) 825-1324
(559) 408-5557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/21/2018
Last updated
06/13/2019
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