JEFFREY THOMAS ROBERTSON CA MFT
NPI 1851048268
Counselor - Mental Health in Winnetka, CA
Active since March 05, 2022
About Jeffrey Thomas Robertson Ca Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY THOMAS ROBERTSON CA MFT (NPI 1851048268) is an individual mental health provider in Winnetka, California, licensed in California (112867) and active in the NPI registry since March 2022.
NPPES Registry Identity
NPI1851048268
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEFFREY THOMAS ROBERTSONCredential: CA MFT
Location Address20823 KESWICK STWinnetka, CA 91306-2031
Mailing Address20823 Keswick StWinnetka, CA 91306-2031 · (323) 945-5171
Phone(323) 945-5171
Sole ProprietorYes
Enumeration DateMarch 5, 2022
NPPES CertifiedMarch 5, 2022
✔ NPI 1851048268 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 112867
20823 KESWICK ST, Winnetka, CA 91306
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851048268, enumerated as an "individual" on March 05, 2022.
The provider is located at 20823 KESWICK ST WINNETKA, CA 91306 and the phone number is (323) 945-5171.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.