Provider Demographics
NPI:1881154763
Name:ROBLES, CIA A (HYPNOTHERAPIST)
Entity type:Individual
Prefix:
First Name:CIA
Middle Name:A
Last Name:ROBLES
Suffix:
Gender:F
Credentials:HYPNOTHERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3798 GRAND AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-1527
Mailing Address - Country:US
Mailing Address - Phone:510-853-5323
Mailing Address - Fax:
Practice Address - Street 1:3798 GRAND AVE STE 1
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-1527
Practice Address - Country:US
Practice Address - Phone:510-853-5323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor