MEDICARE: MARSHA LYNNE ROSINSKI MA, LPC, NCC, SCL

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	101YS0200X	School Counselor	SC0000459	MI
2	101YM0800X	Mental Health Counselor
3	101YP2500X	Professional Counselor	L869068	MI

General Provider Information

NPI Number	:	1982079588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHA LYNNE ROSINSKI MA, LPC, NCC, SCL

Provider Business Mailing Address
First Line	:	9458 CLAY RD
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-9283
Country	:	US
Telephone Number	:	231-360-1592
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 VETERANS DR STE 206
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-4734
Country	:	US
Telephone Number	:	231-818-8483
Fax Number	:

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

Provider Enumeration Date	:	12/08/2015
Last Update Date	:	08/16/2024

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