| De La Rosa Psychotherapists, A Mft Corporation | |
|
576 B St Ste 2c Santa Rosa CA 95401-5269 | |
| (707) 536-5069 | |
| Not Available |
| Full Name | De La Rosa Psychotherapists, A Mft Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 576 B St Ste 2c, Santa Rosa, California |
| Authorized Official Name and Position | Tatra-li De La Rosa (OWNER) |
| Authorized Official Contact | 7075365069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De La Rosa Psychotherapists, A Mft Corporation 576 B St Ste 2c Santa Rosa CA 95401-5269 Ph: (707) 536-5069 | De La Rosa Psychotherapists, A Mft Corporation 576 B St Ste 2c Santa Rosa CA 95401-5269 Ph: (707) 536-5069 |
| NPI Number | 1861224263 |
|---|---|
| Provider Enumeration Date | 08/15/2024 |
| Last Update Date | 11/09/2024 |
| Certification Date | 11/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861224263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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