| Doctor Name: | MISS ROZA CATHRINA BOCKELMAN |
| NPI Number: | 1013074954 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW, CDP |
| License Number: | CP60106906 |
| Business Practice Address: | 325 E Pioneer Puyallup, WA - 983723265 |
| Business Phone Number: | 2536978400 |
| Business Fax Number: | 2536978590 |
| Mailing Address: | 325 E Pioneer, PUYALLUP |
| State: | WA |
| Postal Code: | 983723265 |
| Phone Number: | 2536978400 |
| Fax Number: | 2536978590 |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 08/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CP60106906 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |