Joaquin Lopez De San Roman
NPI #1215482773 in Sebastopol, California
Provider Information
- NPI Number
- 1215482773
- Entity Type
- Individual
- Name
- Joaquin Lopez De San Roman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Aug 24, 2016
- Last Updated
- Aug 24, 2016
Practice Location
- Address
- 2650 BURNSIDE RD
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-9424
- Phone
- (707) 328-1793
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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