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Joaquin Lopez De San Roman
Marriage & Family Therapist in Sebastopol, California
NPI 1215482773

Joaquin Lopez De San Roman is a Marriage & Family Therapist based in Sebastopol, CA. Joaquin Lopez De San Roman practices in Sebastopol, CA. The NPI Number for Joaquin Lopez De San Roman is 1215482773 and holds a License No. 45971 (California).

The current practice location address for Joaquin Lopez De San Roman is 2650 Burnside Rd, Sebastopol, CA and can be reached out via phone at 707-328-1793 and via fax at 707-664-4104.

Location: 2650 Burnside Rd, Sebastopol, CA, 95472-9424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215482773
Provider Name
Joaquin Lopez De San Roman
Credential
Provider Entity Type
Individual
Gender
Male
Address
2650 Burnside Rd, Sebastopol, CA, 95472-9424
Phone Number
707-328-1793
Fax Number
707-664-4104
Provider Enumeration Date
08/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2650 Burnside Rd
City
Sebastopol
State
California
Zip
95472-9424
Phone Number
707-328-1793
Fax Number
707-664-4104
person
Provider Business Mailing Address Details
Address
2650 Burnside Rd
City
Sebastopol
State
California
Zip
95472-9424
Phone Number
707-328-1793
Fax Number
707-664-4104
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
45971 (California)
Definition
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 mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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