Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roosevelt Ulloavaldivieso

Individual provider Mental Health Counselor · NPI 1538559281

Roosevelt Ulloavaldivieso is a Mental Health Counselor in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425
Phone: (619) 481-5200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1538559281
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 3, 2015
Last updated in NPPESFebruary 3, 2015

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