Individual
URSULA ELIANA ROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47825 OASIS ST, INDIO, CA 92201-6950
(760) 863-8455
(760) 863-8587
Mailing address
47825 OASIS ST, INDIO, CA 92201-6950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
MPSS-MLKIJB
CA
Other
Enumeration date
09/22/2015
Last updated
06/07/2023
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