Individual provider · Type 1 NPI

Mary Rugolo

Mental Health Counselor · San Diego, CA

NPI number 1881404853 Active

Practice location

2851 Camino Del Rio S Ste 300
San Diego, CA 92108-3814

Mailing address

6540 Reflection Dr Apt 1101
San Diego, CA 92124-5133

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X18122 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1881404853

Mary Rugolo's National Provider Identifier is 1881404853, issued on Jan 10, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Jan 10, 2025.