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NPI Code Detail

MEDICARE: MS. ROZELLE NATALIE ALLEN M.ED., LPCC, CTS

MEDICARE: MS. ROZELLE NATALIE ALLEN M.ED., LPCC, CTS
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
1101YP2500XProfessional CounselorE.0600225OH
2101YP2500XProfessional CounselorC.0600225OH

General Provider Information

NPI Number : 1104003375
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROZELLE NATALIE ALLEN M.ED., LPCC, CTS
Provider Business Mailing Address
First Line : 3445 S MAIN ST
Second Line :
City : COVENTRY TOWNSHIP
State : OH
Zip : 44319-3028
Country : US
Telephone Number : 330-644-4095
Fax Number :
Provider Business Practice Location Address
First Line : 3445 S MAIN ST
Second Line :
City : COVENTRY TOWNSHIP
State : OH
Zip : 44319-3028
Country : US
Telephone Number : 330-644-4095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2008
Last Update Date : 09/09/2022

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