Individual
DANIELA ROTHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17505 N 79TH AVE, GLENDALE, AZ 85308-8725
(602) 800-7980
Mailing address
5616 W ANDREA DR, PHOENIX, AZ 85083-7340
(623) 518-4288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17104
AZ
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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