Individual provider · Type 1 NPI

Rudy Roman

Mental Health Counselor · Santa Fe Springs, CA

NPI number 1295919264 Active

Practice location

11741 Telegraph Rd
Santa Fe Springs, CA 90670-3681

Mailing address

3549 Myrtle Ave
Long Beach, CA 90807-4641

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XIMF - 77503 (CA)
Marriage & Family Therapist 106H00000XINTERN # - IMF55140 (CA)
Marriage & Family Therapist 106H00000XIMF - 77503 (CA)
Mental Health Counselor Primary 101YM0800XLMFT111373 (CA)

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About NPI 1295919264

Rudy Roman's National Provider Identifier is 1295919264, issued on Dec 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Fe Springs, CA. The record was last updated on Mar 11, 2020.