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Organization
MISTY MOUNTAIN PHOENIX RISING LLC
Active
Organization
MISTY MOUNTAIN PHOENIX RISING LLC
Active
Other names
Wendy Rozelle, M.A. MFT
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY ROZELLE MA MFT (LMFT)
(818) 602-3680
Entity
Organization
Contact information
Practice address
23550 LYONS AVE., SUITE 211, NEWHALL, CA 91321-9132
(818) 602-3680
(661) 309-4677
Mailing address
22314 CANONES CIRCLE, SANTA CLARITA, CA 91350-2244
(818) 602-3680
(661) 309-4677
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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