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Individual

MONICA M. ROSAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC-MH

Contact information

Practice address
SSMH - ST. ANTHONY'S HOSPITAL, 2825 PARKLAWN DRIVE, MIDWEST CITY, OK 73110
(405) 610-4411
Mailing address
420 SW 10TH ST, OKLAHOMA CITY, OK 73109-5610
(405) 236-0701
(405) 236-0737

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1406
OK
101YM0800X
Mental Health Counselor
1406
OK
104100000X
Social Worker

Other

Enumeration date
02/07/2011
Last updated
10/18/2021
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