Provider Demographics
NPI:1184242562
Name:ROBLES, QUIRINO ANTONIO JR (LMFT)
Entity type:Individual
Prefix:MR
First Name:QUIRINO
Middle Name:ANTONIO
Last Name:ROBLES
Suffix:JR
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 W SAN BERNARDINO RD STE 150
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91722-4156
Mailing Address - Country:US
Mailing Address - Phone:626-771-8354
Mailing Address - Fax:
Practice Address - Street 1:1109 W SAN BERNARDINO RD STE 150
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91722-4156
Practice Address - Country:US
Practice Address - Phone:626-771-8354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-11
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist