| Doctor Name: | RACHEL D ROSA |
| NPI Number: | 1144362286 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 001446 |
| Business Practice Address: | 760 Bantam Rd Bantam, CT - 067501603 |
| Business Phone Number: | 8603619333 |
| Business Fax Number: | 8603619334 |
| Mailing Address: | 232 Notting Hill Gate, TORRINGTON |
| State: | CT |
| Postal Code: | 067906066 |
| Phone Number: | 8604597942 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 01/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 001446 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |