Individual
ROCK ALLEN TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LASAC
Contact information
Practice address
8825 N 23RD AVE, SUITE#100, PHOENIX, AZ 85021-4147
(602) 861-2255
(602) 861-2288
Mailing address
1811 S ALMA SCHOOL RD, SUITE# 160, MESA, AZ 85210-3001
(480) 831-7566
(480) 962-7671
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-13099
AZ
101YM0800X
Mental Health Counselor
LAC-12887
AZ
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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