Provider Demographics
NPI:1588136071
Name:OUBRE, CLEOPATRA F (LCSW)
Entity type:Individual
Prefix:
First Name:CLEOPATRA
Middle Name:F
Last Name:OUBRE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:FRANCOIS
Other - Middle Name:
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12832 GARDEN GROVE BLVD
Mailing Address - Street 2:STE E
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92843
Mailing Address - Country:US
Mailing Address - Phone:714-636-1349
Mailing Address - Fax:
Practice Address - Street 1:12832 GARDEN GROVE BLVD
Practice Address - Street 2:STE E
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92843
Practice Address - Country:US
Practice Address - Phone:714-636-1349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85021101YM0800X
CA1098571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health