Provider Demographics
NPI:1649916289
Name:ROBLES, RUMALDO (BHT, CTSS)
Entity type:Individual
Prefix:
First Name:RUMALDO
Middle Name:
Last Name:ROBLES
Suffix:
Gender:F
Credentials:BHT, CTSS
Other - Prefix:
Other - First Name:RUMALDO
Other - Middle Name:
Other - Last Name:ROBLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BHT, CTSS
Mailing Address - Street 1:1552 N IRAN AVENUE
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85349
Mailing Address - Country:US
Mailing Address - Phone:928-315-2234
Mailing Address - Fax:
Practice Address - Street 1:2197 S 4TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6473
Practice Address - Country:US
Practice Address - Phone:928-920-6220
Practice Address - Fax:928-259-7272
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health