Individual
ESYESMERI DE LA ROSA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5624 SW GREEN OAKS BLVD, ARLINGTON, TX 76017-1161
(817) 807-0058
Mailing address
5624 SW GREEN OAKS BLVD, ARLINGTON, TX 76017-1161
(817) 807-0058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
77599
TX
101YP2500X
Professional Counselor
77599
TX
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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