Individual provider · Type 1 NPI
Joaquin Lopez de San Roman
Marriage & Family Therapist · Sebastopol, CA
Practice location
2650 Burnside Rd
Sebastopol, CA 95472-9424
Fax (707) 664-4104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 45971 (CA) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
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About NPI 1215482773
Joaquin Lopez de San Roman's National Provider Identifier is 1215482773, issued on Aug 24, 2016. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Sebastopol, CA. The record was last updated on Aug 24, 2016.