| Doctor Name: | ROSANA E MINA-MEZA |
| NPI Number: | 1033350343 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LH00011275 |
| Business Practice Address: | 325 W Gowe St Kent, WA - 980325892 |
| Business Phone Number: | 2535209350 |
| Business Fax Number: | 2535201799 |
| Mailing Address: | 2704 I St Ne, AUBURN |
| State: | WA |
| Postal Code: | 980022411 |
| Phone Number: | 2538337444 |
| Fax Number: | 2538330480 |
| NPI Enumeration Date: | 03/16/2009 |
| NPI Last Update Date: | 03/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH00011275 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |