Individual
CORKY ROSEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(830) 223-1828
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(830) 223-1828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
99498
TX
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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