Provider Demographics
NPI:1306189394
Name:ROBEN, ECHO (LMFT)
Entity Type:Individual
Prefix:MISS
First Name:ECHO
Middle Name:
Last Name:ROBEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ECHO
Other - Middle Name:
Other - Last Name:GAFFNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3511 CAMINO DEL RIO SOUTH
Mailing Address - Street 2:SUITE # 302
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-4003
Mailing Address - Country:US
Mailing Address - Phone:619-356-3246
Mailing Address - Fax:
Practice Address - Street 1:3511 CAMINO DEL RIO SOUTH
Practice Address - Street 2:SUITE # 302
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4003
Practice Address - Country:US
Practice Address - Phone:619-356-3246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80162106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist