Provider Demographics
NPI:1760861702
Name:HO, JOSEPHINE PENALBA-OLDAN (LMFT)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:PENALBA-OLDAN
Last Name:HO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JOSEPHINE
Other - Middle Name:PENALBA
Other - Last Name:OLDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4785 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-0500
Mailing Address - Country:US
Mailing Address - Phone:559-448-4708
Mailing Address - Fax:559-448-4950
Practice Address - Street 1:1830 S CENTRAL ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-4418
Practice Address - Country:US
Practice Address - Phone:559-730-2969
Practice Address - Fax:559-730-2991
Is Sole Proprietor?:No
Enumeration Date:2015-05-22
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
CAIMF 85095106H00000X
CA101192106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health