Provider Demographics
NPI:1245319482
Name:ROHAN, VIRGINIA LEA (MFT)
Entity type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:LEA
Last Name:ROHAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 STATE ST STE 19
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-6775
Mailing Address - Country:US
Mailing Address - Phone:805-284-8157
Mailing Address - Fax:
Practice Address - Street 1:1129 STATE ST STE 19
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-6775
Practice Address - Country:US
Practice Address - Phone:805-563-8902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31557106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist