Provider Demographics
NPI:1366599136
Name:FREITAS, JOSEPH IRVING (LMFT30358)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:IRVING
Last Name:FREITAS
Suffix:
Gender:M
Credentials:LMFT30358
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 27142
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-7142
Mailing Address - Country:US
Mailing Address - Phone:559-495-3734
Mailing Address - Fax:559-495-3741
Practice Address - Street 1:3333 E AMERICAN AVE
Practice Address - Street 2:ADMIN JJC BLDG 702, RM A141, STOP 250B
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93725-9235
Practice Address - Country:US
Practice Address - Phone:559-495-3734
Practice Address - Fax:559-495-3741
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist