Doctor Name: | JOSETTE ROSSI |
NPI Number: | 1912310913 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA LISAC BHP |
License Number: | LISAC#-11613 |
Business Practice Address: | 556 South Arizona Ave. Pinal Hispanic Council Coolidge, AZ - 85128 |
Business Phone Number: | 5207237405 |
Business Fax Number: | 5207237410 |
Mailing Address: | Po Box 1806, COOLIDGE |
State: | AZ |
Postal Code: | 851280033 |
Phone Number: | 5204146257 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2014 |
NPI Last Update Date: | 06/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LISAC#-11613 |
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: |