Doctor Name: | VIRGEN ISABEL ROJAS |
NPI Number: | 1558635680 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLMHP |
License Number: | 9452 |
Business Practice Address: | 8610 Brentwood Dr Ste 1 La Vista, NE - 681283377 |
Business Phone Number: | 4023313232 |
Business Fax Number: | |
Mailing Address: | 2520 Polk St, OMAHA |
State: | NE |
Postal Code: | 681074264 |
Phone Number: | 4029604552 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2012 |
NPI Last Update Date: | 03/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 9452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |