Provider Demographics
NPI:1871044750
Name:RUBIO GUTIERREZ, MARIA DEL MAR (LMFT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DEL MAR
Last Name:RUBIO GUTIERREZ
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:DEL MAR
Other - Last Name:LOPEZ GUTIERREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3609 OCEAN RANCH BLVD STE 208&209
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-2698
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3609 OCEAN RANCH BLVD STE 208&209
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-2698
Practice Address - Country:US
Practice Address - Phone:858-279-1223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA135157106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist