Provider Demographics
NPI:1689777989
Name:TARBOX-ROLAND, ROBIN L (LMFT 28766)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:L
Last Name:TARBOX-ROLAND
Suffix:
Gender:F
Credentials:LMFT 28766
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 SPRING ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941
Mailing Address - Country:US
Mailing Address - Phone:619-709-7208
Mailing Address - Fax:619-469-4515
Practice Address - Street 1:4700 SPRING ST
Practice Address - Street 2:SUITE 306
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-5263
Practice Address - Country:US
Practice Address - Phone:619-709-7208
Practice Address - Fax:619-469-4515
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT 28766101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health