Provider Demographics
NPI:1104496199
Name:ROBLES, KARINA (LMFT)
Entity type:Individual
Prefix:MISS
First Name:KARINA
Middle Name:
Last Name:ROBLES
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 1:601 S BRAND BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-4060
Mailing Address - Country:US
Mailing Address - Phone:818-975-0145
Mailing Address - Fax:
Practice Address - Street 1:601 S BRAND BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-4060
Practice Address - Country:US
Practice Address - Phone:818-898-9493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA123858106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist