Provider Demographics
NPI:1417076670
Name:HASENBALG, ROSEMARY (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:
Last Name:HASENBALG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8635 RUDNICK AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304-2216
Mailing Address - Country:US
Mailing Address - Phone:818-348-3396
Mailing Address - Fax:818-407-1310
Practice Address - Street 1:24509 WALNUT ST
Practice Address - Street 2:104
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2846
Practice Address - Country:US
Practice Address - Phone:661-250-4256
Practice Address - Fax:818-407-1310
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31746101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor