MEDICARE: PAMELLA MAE ROZAN LCPC

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	101YP2500X	Professional Counselor	1480	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000745760	OTHER	MT	BLUE CROSS-SHIELD OF MONTANA

General Provider Information

NPI Number	:	1518299866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELLA MAE ROZAN LCPC

Provider Business Mailing Address
First Line	:	PO BOX 3089
Second Line	:	CENTER FOR MENTAL HEALTH
City	:	GREAT FALLS
State	:	MT
Zip	:	59403-3089
Country	:	US
Telephone Number	:	406-727-4315
Fax Number	:	406-727-4318

Provider Business Practice Location Address
First Line	:	513 1ST AVE S
Second Line	:	CENTER FOR MENTAL HEALTH/PACT
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-3604
Country	:	US
Telephone Number	:	406-727-4315
Fax Number	:	406-727-4318

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

Provider Enumeration Date	:	02/10/2010
Last Update Date	:	09/05/2025

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