Kevin Rocendo Arrez
Individual provider Active NPI Professional Counselor · Fresno, CA
NPI 1043876576 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1043876576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 16580 (CA)
- Practice address
- 2560 W Shaw LN Ste 104
Fresno, CA 93711-2777 - Phone
- (559) 433-4800
- NPI assigned
- May 9, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16580 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 8094 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno County Superintendent of Schools | Current |
Accepting new patients | |
| Fresno County Superintendent of Schools | Current |
Accepting new patients | |
| Fresno County Superintendent of Schools | Past |
Accepting new patients |
Locations
2440 Tulare St
Ste 200
Fresno, CA 93721
Phone (559) 265-3089
4939 E Yale Ave
Fresno, CA 93727
Phone (559) 443-4820
2560 W Shaw Ln
Ste 104
Fresno, CA 93711
Phone (559) 431-1086
2020 High St
Ste E
Selma, CA 93662
Phone (559) 443-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8094 | CA | |
| Professional Counselor | 101YP2500X | 16580 | CA | Yes |
Addresses
Primary practice location
2560 W Shaw LN Ste 104
Fresno, CA 93711-2777
Mailing address
2560 W Shaw LN Ste 104
Fresno, CA 93711-2777
Phone (559) 433-4800
Other practice location 1
2020 High St Ste E
Selma, CA 93662-3518
Phone (559) 443-4800
Other practice location 2
4939 E Yale Ave
Fresno, CA 93727-1523
Phone (559) 443-4800
Other providers in Fresno, CA
- Justin Donaldo Arreola
- Lesley Arreola
- Monica Arreola
- Francisco Arrevalo III
- Breanna Arrez
- Alejandra Arriaga
- Alexis Renee Arriaga
- Noemi Arriaga
- Denys Esther Arrieta-Zorro
- Mikaela Alexis Arrington
All providers in Fresno, CA · Professional Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.