Provider Demographics
NPI:1083863518
Name:ROBLES, RUTH ALEJANDRA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ALEJANDRA
Last Name:ROBLES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 W ARROW HWY # 191
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-2410
Mailing Address - Country:US
Mailing Address - Phone:909-667-9228
Mailing Address - Fax:
Practice Address - Street 1:1340 E ROUTE 66 STE 107
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-3783
Practice Address - Country:US
Practice Address - Phone:909-667-9228
Practice Address - Fax:888-984-2381
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84905106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7708OtherMEDICAL
CA7667OtherMEDICAL
CA7184OtherMEDICAL
CA7368OtherMEDICAL