Individual
NICOLE LYNN ROSKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C., L.P.C.
Contact information
Practice address
240 W OSBORN RD STE 230, PHOENIX, AZ 85013-3908
(602) 405-9360
Mailing address
240 W OSBORN RD STE 230, PHOENIX, AZ 85013-3908
(602) 405-9360
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10823
AZ
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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