Mia Elana Roodhuyzen
Marriage & Family Therapist in San Rafael, CA. Individual provider (NPI-1).
NPI number1043662380
StatusActive
Last updated in NPPESAug 21, 2024
Details
- NPI
- 1043662380
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mia Elana Roodhuyzen
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2016
- Certification date
- Aug 21, 2024
- Last updated
- Aug 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 121366 | CA | Yes |
Practice location
806 Vendola DrSan Rafael, CA 94903-2941
Phone 415-686-1130
Mailing address
806 Vendola DrSan Rafael, CA 94903-2941
Phone 415-686-1130
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All 390 Marriage & Family Therapist providers in San Rafael · All 3,698 providers in San Rafael
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