Individual
MISTY RENEE ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11181 W 17TH AVE, 2-308, LAKEWOOD, CO 80215
(151) 297-1069
Mailing address
11181 W 17TH AVE, 2-308, LAKEWOOD, CO 80215
(151) 297-1069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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