Provider Demographics
NPI:1114332608
Name:NAVARRETE, ROSALBA (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:ROSALBA
Middle Name:
Last Name:NAVARRETE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 THUNDERBIRD DR
Mailing Address - Street 2:SUITE 12
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3829
Mailing Address - Country:US
Mailing Address - Phone:915-845-3122
Mailing Address - Fax:915-845-4165
Practice Address - Street 1:300 THUNDERBIRD DR
Practice Address - Street 2:SUITE 12
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3829
Practice Address - Country:US
Practice Address - Phone:915-845-3122
Practice Address - Fax:915-845-4165
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70027101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional