Individual
MR. ANDREW B DA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1819 S DOBSON RD, SUITE 103, MESA, AZ 85202-5664
(480) 777-3707
(480) 368-0949
Mailing address
5184 W LINDA LN, CHANDLER, AZ 85226-1979
(520) 252-0049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-0050
AZ
101YP2500X
Professional Counselor
Primary
LPC-12039
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094684
—
AZ
Enumeration date
09/28/2006
Last updated
08/24/2009
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