Provider Demographics
NPI:1013636398
Name:AGLIONE, ROZETA (MFT)
Entity Type:Individual
Prefix:
First Name:ROZETA
Middle Name:
Last Name:AGLIONE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:ROZETA
Other - Middle Name:
Other - Last Name:YAGHOUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41942 HUMBER DR
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-3803
Mailing Address - Country:US
Mailing Address - Phone:818-624-1703
Mailing Address - Fax:
Practice Address - Street 1:1400 W MINTHORN ST
Practice Address - Street 2:
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-2808
Practice Address - Country:US
Practice Address - Phone:951-245-3201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT144353106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty