Provider Demographics
NPI:1831939883
Name:ROMO, ROXANNA MELISSA (LMFT)
Entity type:Individual
Prefix:
First Name:ROXANNA
Middle Name:MELISSA
Last Name:ROMO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8974 MERCEDES AVE
Mailing Address - Street 2:
Mailing Address - City:ARLETA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-5808
Mailing Address - Country:US
Mailing Address - Phone:818-384-4778
Mailing Address - Fax:
Practice Address - Street 1:8974 MERCEDES AVE
Practice Address - Street 2:
Practice Address - City:ARLETA
Practice Address - State:CA
Practice Address - Zip Code:91331-5808
Practice Address - Country:US
Practice Address - Phone:818-384-4778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA146627106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist