Individual
CARLIN ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
734 W POLK ST, PHOENIX, AZ 85007-2539
(602) 531-5837
Mailing address
734 W POLK ST, PHOENIX, AZ 85007-2539
(602) 531-5837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-20238
AZ
Other
Enumeration date
01/15/2020
Last updated
09/15/2022
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