Individual
ROSA RUALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 S ALMA SCHOOL RD, SUITE 105, MESA, AZ 85210-4012
(480) 703-4495
Mailing address
887 S ASH ST, GILBERT, AZ 85233-7732
(480) 703-4495
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15965
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15965
LICENSE
AZ
Enumeration date
02/09/2016
Last updated
03/14/2016
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