Shirley Jean Rouge LMFT

NPI 1720198773 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1720198773
Gender Female
Enumeration Date 08/30/2006
Last Updated 09/12/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
5330 PRIMROSE DR
SUITE 240
FAIR OAKS CA, 95628-3520, US
Phone (916) 812-8235
Fax (916) 961-1107
Business Location
5330 PRIMROSE DRIVE
SUITE 240
FAIR OAKS CA, 95628-3520, US
Phone (916) 812-8235
Fax (916) 961-1107
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 40377
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According to our database, Shirley Jean Rouge LMFT NPI is 1720198773, taxonomy code is 106H00000X and license number is 40377, license state is located at California. Shirley Jean Rouge LMFT physically located at 5330 Primrose Dr, Fair Oaks CA, 95628-3520. NPI Number Shirley Jean Rouge LMFT has the Individual type.

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1720198773 NPI number is provided on an as is basis without warranty of any kind. 1720198773 is maintained by the National Plan & Provider Enumeration System. The contents of Shirley Jean Rouge LMFT are for informational purposes only.