MEDICARE: MRS. CHRISTIE ANNE ROSSIG LAC

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	101YM0800X	Mental Health Counselor	37PC01097500	NJ

General Provider Information

NPI Number	:	1003562687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTIE ANNE ROSSIG LAC

Provider Business Mailing Address
First Line	:	16 HIGHLAND RD
Second Line	:
City	:	MONTVALE
State	:	NJ
Zip	:	07645-2022
Country	:	US
Telephone Number	:	201-390-0481
Fax Number	:

Provider Business Practice Location Address
First Line	:	300B LAKE ST
Second Line	:
City	:	RAMSEY
State	:	NJ
Zip	:	07446-1363
Country	:	US
Telephone Number	:	551-252-4898
Fax Number	:

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

Provider Enumeration Date	:	02/23/2022
Last Update Date	:	02/10/2026

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