Individual
MARISA MANCINI ROTHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109-4314
(505) 884-1114
(505) 884-3004
Mailing address
1814 DON FELIPE RD SW, ALBUQUERQUE, NM 87105-6654
(505) 321-0906
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CCMH0222441
NM
Other
Enumeration date
02/27/2018
Last updated
04/19/2023
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