Healthcare Provider Details

I. General information

NPI: 1972450666
Provider Name (Legal Business Name): ROBERT JONATHAN DUENAS JR. MS, PPS, CWA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 N M ST
OXNARD CA
93030-3906
US

IV. Provider business mailing address

1130 N M ST
OXNARD CA
93030-3906
US

V. Phone/Fax

Practice location:
  • Phone: 805-385-1539
  • Fax:
Mailing address:
  • Phone: 805-385-1539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: