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NPI Code Detail

MEDICARE: VANESSA LISETTE ROSALES MS

MEDICARE: VANESSA LISETTE ROSALES MS
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
1106H00000XMarriage & Family Therapist150933CA

General Provider Information

NPI Number : 1750278925
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA LISETTE ROSALES MS
Provider Business Mailing Address
First Line : 16755 PARTHENIA ST UNIT 2
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91343-4637
Country : US
Telephone Number : 818-618-2173
Fax Number :
Provider Business Practice Location Address
First Line : 31200 VIA COLINAS STE 202
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91362-3955
Country : US
Telephone Number : 661-299-7033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2025
Last Update Date : 06/20/2025

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Directions to “ VANESSA LISETTE ROSALES MS” Practice Location

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