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Individual
KATHERINE ROUBOS
Active
Individual
KATHERINE ROUBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
74037
CA
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
91912
CA
1041S0200X
School Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
74037
CA
Other
Enumeration date
08/20/2014
Last updated
07/15/2020
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