Provider Demographics
NPI:1417071622
Name:ROBLES, SANDRA LORENA (LMFT)
Entity Type:Individual
Prefix:MISS
First Name:SANDRA
Middle Name:LORENA
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:PO BOX 1942
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91793-1942
Mailing Address - Country:US
Mailing Address - Phone:162-667-8615
Mailing Address - Fax:626-727-6057
Practice Address - Street 1:855 N LARK ELLEN AVE STE A
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-1099
Practice Address - Country:US
Practice Address - Phone:626-678-6151
Practice Address - Fax:626-727-6057
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50094106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist