Healthcare Provider Details

I. General information

NPI: 1326266875
Provider Name (Legal Business Name): ANNE ROSSEN M.A., L.C.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2007
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

791 APPLE TREE LN
HIGHLAND PARK IL
60035-1201
US

IV. Provider business mailing address

791 APPLE TREE LN
HIGHLAND PARK IL
60035-1201
US

V. Phone/Fax

Practice location:
  • Phone: 847-433-8733
  • Fax:
Mailing address:
  • Phone: 847-433-8733
  • Fax: 847-433-8734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180006138
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180006138
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: