Healthcare Provider Details

I. General information

NPI: 1568014074
Provider Name (Legal Business Name): IVETT SALUD OROZCO-AVALOS AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 S K ST
TULARE CA
93274
US

IV. Provider business mailing address

1923 UNION AVE
TULARE CA
93274-7981
US

V. Phone/Fax

Practice location:
  • Phone: 559-688-2043
  • Fax:
Mailing address:
  • Phone: 661-668-7523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMF138522
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: