| Doctor Name: | DR. RHONDA ALSOBROOK |
| NPI Number: | 1104299718 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD, LASAC |
| License Number: | LASAC13021 |
| Business Practice Address: | 1145 Marina Blvd Bullhead City, AZ - 864425716 |
| Business Phone Number: | 9287585905 |
| Business Fax Number: | 9287588790 |
| Mailing Address: | 1743 Sycamore Ave, KINGMAN |
| State: | AZ |
| Postal Code: | 864090927 |
| Phone Number: | 9287578111 |
| Fax Number: | 9287573256 |
| NPI Enumeration Date: | 11/04/2015 |
| NPI Last Update Date: | 11/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LASAC13021 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |