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NPI Code Detail

MEDICARE: ROSENGREN COUNSELING AND CONSULTING, LLC

MEDICARE: ROSENGREN COUNSELING AND CONSULTING, LLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1881242519
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSENGREN COUNSELING AND CONSULTING, LLC
Provider Business Mailing Address
First Line : 1170 COLORADO AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-3523
Country : US
Telephone Number : 970-628-6726
Fax Number :
Provider Business Practice Location Address
First Line : 1170 COLORADO AVE
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-3523
Country : US
Telephone Number : 970-628-6726
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KENT S ROSENGREN
Credential : PSY.D.
Telephone Number : 970-628-6726
Provider Enumeration Date : 08/27/2019
Last Update Date : 08/27/2019

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