Provider Demographics
NPI:1558517268
Name:ROBLES, GUILLERMO D
Entity Type:Individual
Prefix:MR
First Name:GUILLERMO
Middle Name:D
Last Name:ROBLES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 E MINERAL RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-4808
Mailing Address - Country:US
Mailing Address - Phone:562-201-1880
Mailing Address - Fax:
Practice Address - Street 1:1325 E MINERAL RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-4808
Practice Address - Country:US
Practice Address - Phone:562-201-1880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor