Provider Demographics
NPI:1073064861
Name:ROSENBLATT, EUGENIA N (LMFT)
Entity type:Individual
Prefix:MRS
First Name:EUGENIA
Middle Name:N
Last Name:ROSENBLATT
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 1:939 CANDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-9583
Mailing Address - Country:US
Mailing Address - Phone:408-691-3218
Mailing Address - Fax:
Practice Address - Street 1:939 CANDLEWOOD DR
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9583
Practice Address - Country:US
Practice Address - Phone:408-691-3218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-17
Last Update Date:2025-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA125825106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist