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Individual
ROCK ALLEN TODD
Active
Individual
ROCK ALLEN TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-13099
AZ
101YM0800X
Mental Health Counselor
LAC-12887
AZ
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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