Healthcare Provider Details

I. General information

NPI: 1518627025
Provider Name (Legal Business Name): KATHRYN ROJO MA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13749 RIVERSIDE DR STE 201L
SHERMAN OAKS CA
91423-2446
US

IV. Provider business mailing address

5404 WHITSETT AVE # 1
VALLEY VILLAGE CA
91607-1615
US

V. Phone/Fax

Practice location:
  • Phone: 818-208-0292
  • Fax:
Mailing address:
  • Phone: 818-208-0292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number113149
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: