Healthcare Provider Details

I. General information

NPI: 1033026513
Provider Name (Legal Business Name): ROLI SHARMA AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 KOLL CENTER PKWY STE 250
PLEASANTON CA
94566-8062
US

IV. Provider business mailing address

540 SCOTT ST APT 1
SAN FRANCISCO CA
94117-2300
US

V. Phone/Fax

Practice location:
  • Phone: 925-500-8383
  • Fax:
Mailing address:
  • Phone: 217-607-4438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC14602
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT145785
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: