Healthcare Provider Details
I. General information
NPI: 1528681830
Provider Name (Legal Business Name): ROCHELLE PEARS MARRIAGE FAMILY THERAPIST
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2020
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11344 COLOMA RD STE 709
GOLD RIVER CA
95670-4464
US
IV. Provider business mailing address
11344 COLOMA RD STE 709
GOLD RIVER CA
95670-4464
US
V. Phone/Fax
- Phone: 916-966-1812
- Fax:
- Phone: 916-966-1812
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
DICKSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 916-276-4366