Individual
BREANNA ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
433 5 TH AVE, KOTZEBUE, AK 99752
(907) 442-7640
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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