JERTY A. RELLOSA


Address: 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304-3845
Phone: 8187138700

JERTY A. RELLOSA (NPI# 1427435841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427435841
Entity Type Individual
Full Name JERTY A. RELLOSA
Other Name JERTY ANN RELLOSA
Practice Address 22110 Roscoe Blvd
Suite 204
Canoga Park
CA 91304-3845
Practice Telephone 8187138700
Practice Fax Number 8187138585
Mailing Telephone 8187138700
Mailing Fax Number 8187138585
Enumeration Date 2015-05-05
Last Update Date 2015-05-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 86157 CA Behavioral Health & Social Service Providers

Office Location

Street Address 22110 ROSCOE BLVD
SUITE 204
City CANOGA PARK
State CA
Zip Code 91304-3845

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750379152 Avakian, Inc. Pharmacist 22110 Roscoe Blvd, Suite 105, Canoga Park, CA 91304-3845 2005-10-10
1972146983 Nahid Modabber Counselor 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304 2019-10-22
1699286534 Melody Olvera Counselor 22110 Roscoe Blvd, Canoga Park, CA 91304-3845 2017-10-18
1013382787 Kelly Willard Case Manager/Care Coordinator 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304-3845 2015-12-07
1790162113 Jodi Freedman Counselor 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304-3845 2015-05-05
1275920241 Valley Women's Center Case Management 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304-3845 2015-04-17
1346637261 Whitney Bowman Counselor 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304-3845 2015-04-17
1275963811 Susan Armour Counselor 22110 Roscoe Blvd, Canoga Park, CA 91304-3845 2013-11-18
1932539889 Jennifer Ortiz Counselor 22110 Roscoe Blvd, Suite 204, Canoga Park, CA 91304-3845 2013-11-13
1609206572 Samantha Carole Collins Counselor 22110 Roscoe Blvd, Suite # 204, Canoga Park, CA 91304-3845 2013-11-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447860861 A Plus Rainbow Hospice, Inc. Hospice Care, Community Based 8374 Topanga Canyon Blvd Suite 207, Canoga Park, CA 91304 2020-08-01
1447874516 California Care Wellness Medical Center Inc. Internal Medicine 8374 Topanga Canyon Blvd Ste 210, Canoga Park, CA 91304 2020-06-03
1871129288 Trusted Home Health Care Services Home Health 8374 Topanga Blvd, Unit 211, Canoga Park, CA 91304 2020-03-17
1356822951 Rebecca Richmond Nurse Practitioner 8900 De Soto Ave, Canoga Park, CA 91304 2018-08-22
1225553142 Safety Med Transport Inc. Non-emergency Medical Transport (VAN) 8374 Topanga Canyon Blvd Unit 211, Canoga Park, CA 91304 2017-08-11
1487014262 American Unique Staff Provider Home Health 8761 De Soto Ave, Suite 127, Canoga Park, CA 91304 2016-03-07
1013376532 Salia Ashtiani Behavioral Analyst 7624 Royer Avenue, West Hills, CA 91304 2016-02-11
1598156119 Rita M. Antolin Dds A Professional Corporation Health Maintenance Organization 21301a Saticoy Street, Canoga Park, CA 91304 2015-02-18
1609290188 Jennifer Gonzales Asuncion Physical Therapist 8306 Kentland Ave., West Hills, CA 91304 2014-02-05
1174873897 Norman Carabet General Practice 7730 Graystone Dr, West Hills, CA 91304 2012-09-11
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154754596 Liliana Maria Rodriguez Marriage & Family Therapist 21731 Napa St, Canoga Park, CA 91304-2530 2013-08-20
1992015499 Kami Amber Leonard Marriage & Family Therapist 21201 Victory Blvd Ste 200, Canoga Park, CA 91303 2010-10-18
1306064985 Raul Lara Marriage & Family Therapist 22030 Sherman Way Ste 316, Canoga Park, CA 91303-2206 2007-04-21
1528184280 Luann Rollens Marriage & Family Therapist 6800 Owensmouth Ave Ste 310, Canoga Park, CA 91303-4245 2007-03-22
1548391592 Adria Beth Scovel Marriage & Family Therapist 21045 Hart St, Canoga Park, CA 91303-2223 2007-03-08
1720142540 Linda M Simon Marriage & Family Therapist 19725 Sherman Way, Suite 250, Canoga Park, CA 91306 2006-12-19
1689775512 Mythili Jaganath Marriage & Family Therapist 22048 Sherman Way Ste 307, Canoga Park, CA 91303 2006-09-25
1699791509 Laura V Capizzi-nelson Marriage & Family Therapist 7334 Topanga Cyn Blvd, #213, Canoga Park, CA 91303 2006-07-14
1861417719 Tamara S. Mowbray Marriage & Family Therapist 21201 Victory Blvd, Ste 200, Canoga Park, CA 91303-2866 2006-07-13
1154391902 Irving Dacre Croshier Marriage & Family Therapist 7041 Owensmouth Ave, #202, Canoga Park, CA 91303-2057 2006-01-25
Find all providers in CANOGA PARK

Competitor

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City CANOGA PARK
Zip Code 91304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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