Basic Information
| Provider Information | |||||||||
| NPI: | 1588634851 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OROZCO | ||||||||
| FirstName: | JOAQUIN | ||||||||
| MiddleName: | CABRAL | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 75 MDOS/SGOW | ||||||||
| Address2: | 7309 BALMER ST. BLDG 545 | ||||||||
| City: | HILL AFB | ||||||||
| State: | UT | ||||||||
| PostalCode: | 84015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8017777909 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 75 MDOS/SGOW | ||||||||
| Address2: | 7309 BALMER ST. BLDG 545 | ||||||||
| City: | HILL AFB | ||||||||
| State: | UT | ||||||||
| PostalCode: | 84015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8017777909 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/26/2006 | ||||||||
| LastUpdateDate: | 04/11/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | S39090 | TX | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.