MEDICARE: VERONICA ROSENKOETTER TEXAS LPC 97949

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	00310	IA
2	101YP2500X	Professional Counselor	94979	TX

General Provider Information

NPI Number	:	1871503516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA ROSENKOETTER TEXAS LPC 97949

Provider Business Mailing Address
First Line	:	1421 SPICEWOOD DR
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75181-4731
Country	:	US
Telephone Number	:	319-759-5107
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 SPICEWOOD DR
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75181-4731
Country	:	US
Telephone Number	:	319-759-5107
Fax Number	:

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	07/10/2024

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Directions to “ VERONICA ROSENKOETTER TEXAS LPC 97949” Practice Location

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