MEDICARE: BETTY ROSALES LPC-ASSOCIATE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	101824	TX

General Provider Information

NPI Number	:	1972433696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETTY ROSALES LPC-ASSOCIATE

Provider Business Mailing Address
First Line	:	306 N LOOP 288 STE 123
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76209-4218
Country	:	US
Telephone Number	:	469-626-7511
Fax Number	:	469-613-0813

Provider Business Practice Location Address
First Line	:	306 N LOOP 288 STE 123
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76209-4218
Country	:	US
Telephone Number	:	469-626-7511
Fax Number	:	469-613-0813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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