Provider Demographics
NPI:1346767555
Name:ROJAS, PETRA LOUISE (MFTI)
Entity Type:Individual
Prefix:MRS
First Name:PETRA
Middle Name:LOUISE
Last Name:ROJAS
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6506 DOOLITTLE AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-1419
Mailing Address - Country:US
Mailing Address - Phone:714-474-3822
Mailing Address - Fax:
Practice Address - Street 1:9890 COUNTY FARM RD BLDG 3
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3505
Practice Address - Country:US
Practice Address - Phone:951-509-8331
Practice Address - Fax:951-509-8322
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98218106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist