Provider Demographics
NPI:1801414164
Name:HASSELTINE, ROSALIE MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:ROSALIE
Middle Name:MARIE
Last Name:HASSELTINE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ROSALIE
Other - Middle Name:MARIE
Other - Last Name:DREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:44 S GREENFIELD RD UNIT 9
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-1210
Mailing Address - Country:US
Mailing Address - Phone:480-430-1481
Mailing Address - Fax:
Practice Address - Street 1:44 S GREENFIELD RD UNIT 9
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-1210
Practice Address - Country:US
Practice Address - Phone:480-430-1481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor