Provider Demographics
NPI:1598894305
Name:VONROTZ, DENISE MARIE (LMFT)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:VONROTZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3171
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91944-3171
Mailing Address - Country:US
Mailing Address - Phone:619-701-6333
Mailing Address - Fax:619-923-6333
Practice Address - Street 1:8080 LA MESA BLVD STE 205
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-0362
Practice Address - Country:US
Practice Address - Phone:619-701-6333
Practice Address - Fax:619-923-6333
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48878106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1976OtherUBH BILLING ID / ANASAZI