Provider Demographics
NPI:1174684997
Name:FINO, RIGOBERTO A (LCSW)
Entity Type:Individual
Prefix:MR
First Name:RIGOBERTO
Middle Name:A
Last Name:FINO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 ROYAL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-5022
Mailing Address - Country:US
Mailing Address - Phone:707-455-7606
Mailing Address - Fax:707-455-7604
Practice Address - Street 1:444 ROYAL OAKS DR
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-5022
Practice Address - Country:US
Practice Address - Phone:707-455-7606
Practice Address - Fax:707-455-7604
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA272931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical