MEDICARE: ELIZABETH CUEVAS ROSAS MFTI

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1407391840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH CUEVAS ROSAS MFTI

Provider Business Mailing Address
First Line	:	16275 MONTEREY RD STE C
Second Line	:
City	:	MORGAN HILL
State	:	CA
Zip	:	95037-5466
Country	:	US
Telephone Number	:	650-773-1584
Fax Number	:

Provider Business Practice Location Address
First Line	:	5373 N UNION BLVD STE 104
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-2073
Country	:	US
Telephone Number	:	833-444-8726
Fax Number	:	833-444-8726

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

Provider Enumeration Date	:	12/20/2016
Last Update Date	:	10/28/2022

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