Individual
MS. CYNTHIA HEATHER ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LIAC, CACIII
Contact information
Practice address
40004 N RIVER BEND RD, PHOENIX, AZ 85086-4607
(970) 509-9441
Mailing address
40004 N RIVER BEND RD, PHOENIX, AZ 85086-4607
(970) 509-9441
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7201
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
LIAC-155370
AZ
106H00000X
Marriage & Family Therapist
000063
NY
106H00000X
Marriage & Family Therapist
000063-01
NJ
106H00000X
Marriage & Family Therapist
0717002089
VA
106H00000X
Marriage & Family Therapist
205377
TX
106H00000X
Marriage & Family Therapist
44437
CA
106H00000X
Marriage & Family Therapist
4751-R
NV
106H00000X
Marriage & Family Therapist
843
CO
106H00000X
Marriage & Family Therapist
LCM732
MD
106H00000X
Marriage & Family Therapist
Primary
LMFT-15623
AZ
106H00000X
Marriage & Family Therapist
MFT.LF.61624401
WA
106H00000X
Marriage & Family Therapist
MT4590
FL
106H00000X
Marriage & Family Therapist
T3235
OR
Other
Enumeration date
04/23/2007
Last updated
02/26/2026
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