Healthcare Provider Details
I. General information
NPI: 1841803608
Provider Name (Legal Business Name): JOSE EUGENE NAVARRO LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/30/2020
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6051 N FRESNO ST STE 202
FRESNO CA
93710-5280
US
IV. Provider business mailing address
1396 W HERNDON AVE
FRESNO CA
93711-7126
US
V. Phone/Fax
- Phone: 559-256-0100
- Fax:
- Phone: 559-256-0100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 10086 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | APCC10086 |
| License Number State | CA |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | LPCC15858 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: