Provider Demographics
NPI:1316702459
Name:VALDEZ, RAMON (ASW/MSW)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:VALDEZ
Suffix:
Gender:M
Credentials:ASW/MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 W BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-6077
Mailing Address - Country:US
Mailing Address - Phone:559-380-7985
Mailing Address - Fax:
Practice Address - Street 1:317 W BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-6077
Practice Address - Country:US
Practice Address - Phone:559-633-9030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1200311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical