Provider Demographics
NPI:1205729571
Name:GARCIA, ROSA DELIA I
Entity type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:DELIA
Last Name:GARCIA
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35113 102ND AVE E
Mailing Address - Street 2:
Mailing Address - City:EATONVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98328-9811
Mailing Address - Country:US
Mailing Address - Phone:425-435-7742
Mailing Address - Fax:253-375-6203
Practice Address - Street 1:21120 MERIDIAN AVE CT E
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338
Practice Address - Country:US
Practice Address - Phone:253-285-4750
Practice Address - Fax:253-375-6203
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health