Provider Demographics
NPI:1386838423
Name:ROBLES, THY LOUN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:THY
Middle Name:LOUN
Last Name:ROBLES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:THY
Other - Middle Name:
Other - Last Name:LOUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2195 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-9613
Mailing Address - Country:US
Mailing Address - Phone:707-422-0464
Mailing Address - Fax:
Practice Address - Street 1:369 16TH ST
Practice Address - Street 2:
Practice Address - City:KERMAN
Practice Address - State:CA
Practice Address - Zip Code:93630-1997
Practice Address - Country:US
Practice Address - Phone:530-304-9729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW662481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical