Healthcare Provider Details

I. General information

NPI: 1124989801
Provider Name (Legal Business Name): ANABEL ROMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/25/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11080 B AVE
AUBURN CA
95603-2618
US

IV. Provider business mailing address

1427 HOLLINGSWORTH DR
LINCOLN CA
95648-1654
US

V. Phone/Fax

Practice location:
  • Phone: 530-305-7998
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: