Provider Demographics
NPI:1013643212
Name:ROBLES, ISABEL M
Entity Type:Individual
Prefix:
First Name:ISABEL
Middle Name:M
Last Name:ROBLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2956 E YOSEMITE AVE APT 1323
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-8025
Mailing Address - Country:US
Mailing Address - Phone:661-709-7970
Mailing Address - Fax:
Practice Address - Street 1:2956 E YOSEMITE AVE APT 1323
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-8025
Practice Address - Country:US
Practice Address - Phone:661-709-7970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty