Individual
RAFAEL ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4657 S LAKESHORE DR STE 1, TEMPE, AZ 85282-7170
(480) 718-1261
Mailing address
6527 S 5TH WAY, PHOENIX, AZ 85042-4262
(602) 363-4918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-20962
AZ
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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