Jeffrey Adorador

Individual provider Active NPI Marriage & Family Therapist · Roseville, CA

NPI 1851708192 · NPPES record last updated Jul 17, 2024

Key facts

NPI
1851708192
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
80129 (CA)
Practice address
300 Harding Blvd Ste 108
Roseville, CA 95678-2471
Phone
(530) 401-3894
NPI assigned
Jul 18, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
80129CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 80129 CA Yes

Addresses

Primary practice location

300 Harding Blvd Ste 108
Roseville, CA 95678-2471

Mailing address

300 Harding Blvd Ste 108
Roseville, CA 95678-2471
Phone (530) 401-3894

Other providers in Roseville, CA

All providers in Roseville, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.