Healthcare Provider Details

I. General information

NPI: 1346465515
Provider Name (Legal Business Name): ROSEWOOD COUNSELING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 W 9TH ST
UPLAND CA
91786-5949
US

IV. Provider business mailing address

288 W 9TH ST
UPLAND CA
91786-5949
US

V. Phone/Fax

Practice location:
  • Phone: 909-981-0270
  • Fax: 909-981-3585
Mailing address:
  • Phone: 909-981-0270
  • Fax: 909-981-3585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JANINE PROULX
Title or Position: OFFICE MANAGER
Credential:
Phone: 909-981-0270