| Doctor Name: | JOAN C ROUSSEAU |
| NPI Number: | 1093853251 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSW |
| License Number: | LCS 12470 |
| Business Practice Address: | 350 E. Gobbi Ukiah, CA - 95482 |
| Business Phone Number: | 7074722922 |
| Business Fax Number: | |
| Mailing Address: | 7670 East Rd, REDWOOD VALLEY |
| State: | CA |
| Postal Code: | 954709634 |
| Phone Number: | 7074857390 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 12/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS 12470 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |