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NPI Code Detail

MEDICARE: ERIC MORRIS ROSEN LMFT 97204

MEDICARE: ERIC MORRIS ROSEN LMFT 97204
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 Therapist97204CA

General Provider Information

NPI Number : 1033518329
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC MORRIS ROSEN LMFT 97204
Provider Business Mailing Address
First Line : 1782 ESCALON AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93611-7430
Country : US
Telephone Number : 818-746-6007
Fax Number : 559-228-9714
Provider Business Practice Location Address
First Line : 5610 W DONNER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93722-3721
Country : US
Telephone Number : 818-746-6007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2014
Last Update Date : 11/05/2024

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