Provider Information for 1639977085
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ARIEL NICOLE ROCK LMHC
Sex: Female
NPI: 1639977085
Last Updated: 2025-03-03
Certification Date: 2025-03-03
Certification Date: 2025-03-03
Details
Name | Value | ||||||||
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NPI | 1639977085 | ||||||||
Enumeration Date | 2025-03-03 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 4413 ELLSWORTH BLVD BLDG 4 BALLSTON SPA, NY 12020-3357 United States Phone: 423-762-7172 | Fax: | ||||||||
Primary Practice Address | 4413 ELLSWORTH BLVD BLDG 4 BALLSTON SPA, NY 12020-3357 United States Phone: 423-762-7172 | Fax: | ||||||||
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