Provider Demographics
NPI:1528176096
Name:JALOVAARA, ROSEMARY A (MA LLP MFT)
Entity type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:A
Last Name:JALOVAARA
Suffix:
Gender:F
Credentials:MA LLP MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-3248
Mailing Address - Country:US
Mailing Address - Phone:415-385-7281
Mailing Address - Fax:650-290-8114
Practice Address - Street 1:437 ROBERTS RD
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-3248
Practice Address - Country:US
Practice Address - Phone:415-385-7281
Practice Address - Fax:650-290-8114
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301003285103T00000X
CAMN22268106H00000X
CALMFT22268104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist