Provider Demographics
NPI:1881688927
Name:CASEY, ROSE M (LPC)
Entity Type:Individual
Prefix:MS
First Name:ROSE
Middle Name:M
Last Name:CASEY
Suffix:
Gender:F
Credentials:LPC
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Mailing Address - Street 1:1411 E ORANGEWOOD AVE
Mailing Address - Street 2:UNIT 203
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5133
Mailing Address - Country:US
Mailing Address - Phone:602-466-1740
Mailing Address - Fax:602-466-1741
Practice Address - Street 1:6320 E THOMAS RD
Practice Address - Street 2:SUITE 311
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-7077
Practice Address - Country:US
Practice Address - Phone:602-432-3844
Practice Address - Fax:602-466-1741
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZLPC 2271101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional