Organization Name: | ANNE ROSSEN INTEGRATIVE PSYCHOTHERAPY AND MORE, LLC |
NPI Number: | 1013002401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNE E. ROSSEN (OWNER/PSYCHOTHERAPIST AND COUNSELOR) |
Mailing Address: | 5 Revere Dr Suite 238 Northbrook |
State: | IL US |
Postal Code: | 600621566 |
Phone Number: | 8474338733 |
Fax Number: | 8474338734 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 09/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 180006138 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |