Doctor Name: | MS. VICKY ROSALES |
NPI Number: | 1013030600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT |
License Number: | |
Business Practice Address: | 210 S Delacey Ave Suite 110 Pasadena, CA - 911051220 |
Business Phone Number: | 3235785727 |
Business Fax Number: | |
Mailing Address: | 210 S Delacey Ave Suite 110, PASADENA |
State: | CA |
Postal Code: | 91105 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 03/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |