Individual
MRS. ELIZABETH ROSALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
6621 DONIPHAN DR STE G, CANUTILLO, TX 79835-5005
(915) 877-5100
(915) 877-5107
Mailing address
6621 DONIPHAN DR STE G, CANUTILLO, TX 79835-5005
(915) 877-5100
(915) 877-5107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0119681
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VNM01103NI
VALUE OPTIONS
NM
Enumeration date
01/29/2009
Last updated
01/29/2009
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