Individual
MS. ROCHELLE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1840 N 95TH AVE STE 160, PHOENIX, AZ 85037-4313
(623) 234-9811
(623) 234-9815
Mailing address
4747 N 7TH ST STE 100, PHOENIX, AZ 85014-3654
(602) 279-7655
(602) 241-5756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC12009
AZ
101YP2500X
Professional Counselor
Primary
LPC12829
AZ
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAC12009
LICENSE
AZ
Enumeration date
06/25/2007
Last updated
08/10/2022
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