Provider Demographics
NPI:1821230731
Name:ROJO, JOSE R (LMHC)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:R
Last Name:ROJO
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 NE 150TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-2028
Mailing Address - Country:US
Mailing Address - Phone:305-949-1307
Mailing Address - Fax:866-621-0340
Practice Address - Street 1:225 NE 34TH ST
Practice Address - Street 2:SUITE 211
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3800
Practice Address - Country:US
Practice Address - Phone:305-572-0066
Practice Address - Fax:866-621-0340
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9448101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health