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NPI Code Detail

MEDICARE: JENNIFER ROSADO LPC

MEDICARE: JENNIFER ROSADO LPC
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 Counselor04700AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790374544
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ROSADO LPC
Provider Business Mailing Address
First Line : 409 SW 80TH ST
Second Line :
City : LAWTON
State : OK
Zip : 73505-6442
Country : US
Telephone Number : 580-695-6964
Fax Number :
Provider Business Practice Location Address
First Line : 2100 SOUTHBRIDGE PKWY STE 650
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-1317
Country : US
Telephone Number : 205-578-6755
Fax Number : 205-941-8036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2021
Last Update Date : 10/20/2023

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Directions to “ JENNIFER ROSADO LPC” Practice Location

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