Basic Information
| Provider Information | |||||||||
| NPI: | 1477968857 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROBLES-GUERRERO | ||||||||
| FirstName: | CLARA | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | LMFT | ||||||||
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| OtherLastName: | ROBLES-GUERRERO | ||||||||
| OtherFirstName: | CLARA | ||||||||
| OtherMiddleName: | E | ||||||||
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| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 267 RANCHO CT | ||||||||
| Address2: | UNIT D | ||||||||
| City: | CHULA VISTA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 919116528 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 8755 AERO DR STE 306 | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921231764 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8586341100 | ||||||||
| FaxNumber: | 8586341101 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2014 | ||||||||
| LastUpdateDate: | 10/21/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 106H00000X | 110895 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.