Provider Demographics
NPI:1518213719
Name:ROZSA, ORION BENJAMIN (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:ORION
Middle Name:BENJAMIN
Last Name:ROZSA
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 UNIVERSITY AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6712
Mailing Address - Country:US
Mailing Address - Phone:916-668-9049
Mailing Address - Fax:
Practice Address - Street 1:945 UNIVERSITY AVE STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6712
Practice Address - Country:US
Practice Address - Phone:916-668-9049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
CALMFT82937106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist