Individual
MR. MATTHEW ROSENKILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
54 S CENTER ST, MESA, AZ 85210-1306
(480) 709-4635
(480) 359-3270
Mailing address
54 S CENTER ST, MESA, AZ 85210-1306
(480) 709-4635
(480) 359-3270
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-21819
AZ
101YM0800X
Mental Health Counselor
LAC-17463
AZ
101YP2500X
Professional Counselor
Primary
LPC-21819
AZ
Other
Enumeration date
08/25/2019
Last updated
10/06/2023
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