Provider Demographics
NPI:1396408308
Name:ROJAHN, RUDOLF J (LMFT)
Entity Type:Individual
Prefix:
First Name:RUDOLF
Middle Name:J
Last Name:ROJAHN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3516 AVENUE O
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-6737
Mailing Address - Country:US
Mailing Address - Phone:832-819-0974
Mailing Address - Fax:
Practice Address - Street 1:16815 ROYAL CREST DR STE 270
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2552
Practice Address - Country:US
Practice Address - Phone:813-819-0974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-16
Last Update Date:2021-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203259106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist