Provider Demographics
NPI:1578980207
Name:JAIME, ROCIO P (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:ROCIO
Middle Name:P
Last Name:JAIME
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 BARRANCA PKWY # 1129
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-4940
Mailing Address - Country:US
Mailing Address - Phone:530-341-3494
Mailing Address - Fax:
Practice Address - Street 1:2160 BARRANCA PKWY # 1129
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-4940
Practice Address - Country:US
Practice Address - Phone:530-341-3494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-19
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA160022713101YS0200X
CA5922101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool