Roberto Jaramillo, BA PSYCHOLOGY
Individual provider Active NPI Mental Health Counselor · Exeter, CA
NPI 1114589454 · NPPES record last updated Jul 8, 2019
Key facts
- NPI
- 1114589454
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1230 N Anderson Rd
Exeter, CA 93221-9674 - Phone
- (559) 594-4855
- NPI assigned
- Jul 8, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courage to Change, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1230 N Anderson Rd
Exeter, CA 93221-9674
Mailing address
1230 N Anderson Rd
Exeter, CA 93221-9674
Other providers in Exeter, CA
- Marcella J Hojnacki
- Brandi Holmes
- Susan Hostetter
- Torey Sue Ivanic
- Lauren M Ivanoff
- Marlaine Cheryl Jensen
- Corey J Jones
- Elena J Juarez-Wilson
- Alexis Kapheim
- Aaron Josef Kasser
All providers in Exeter, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.