Individual
JULIENNE ROA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20835 N 10TH ST, PHOENIX, AZ 85024-4133
(480) 231-4806
Mailing address
20835 N 10TH ST, PHOENIX, AZ 85024-4133
(480) 231-4806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17143
AZ
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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