Healthcare Provider Details

I. General information

NPI: 1174436414
Provider Name (Legal Business Name): LOUISE ANN AUBIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 N SUNRISE AVE STE 1106
ROSEVILLE CA
95661-2931
US

IV. Provider business mailing address

8771 GALTY WAY
SACRAMENTO CA
95828-6101
US

V. Phone/Fax

Practice location:
  • Phone: 916-676-3548
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: