Healthcare Provider Details

I. General information

NPI: 1912821349
Provider Name (Legal Business Name): JENNA ROSA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 E ELIZABETH AVE
BETHLEHEM PA
18018-6505
US

IV. Provider business mailing address

441 HECKEWELDER PL
BETHLEHEM PA
18018-5806
US

V. Phone/Fax

Practice location:
  • Phone: 610-390-6254
  • Fax:
Mailing address:
  • Phone: 610-730-0751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC002702
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: