Misty Mountain Phoenix Rising LLC
NPI #1235803636 in Newhall, California
Provider Information
- NPI Number
- 1235803636
- Entity Type
- Organization
- Organization Name
- Misty Mountain Phoenix Rising LLC
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Aug 9, 2021
- Last Updated
- Aug 9, 2021
Practice Location
- Address
- 23550 LYONS AVE.
- Address 2
- SUITE 211
- City
- Newhall
- State
- California
- ZIP Code
- 91321-9132
- Phone
- (818) 602-3680
Authorized Official
- Name
- WENDY ROZELLE, MA MFT
- Title
- LMFT
- Phone
- (818) 602-3680
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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