Individual
ROSEMARY J. WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
3000 OAK SPRINGS DR, AUSTIN, TX 78702-2531
(512) 804-3555
(512) 804-3590
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11253
TX
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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