Doctor Name: | MS. KAREN SUE ROZELLE |
NPI Number: | 1265876320 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LLPC |
License Number: | 6401008547 |
Business Practice Address: | 110 Reading Ave Jonesville, MI - 492501136 |
Business Phone Number: | 5178492330 |
Business Fax Number: | 5178492906 |
Mailing Address: | 110 Reading Ave, JONESVILLE |
State: | MI |
Postal Code: | 492501136 |
Phone Number: | 5178492330 |
Fax Number: | 5178492906 |
NPI Enumeration Date: | 04/19/2013 |
NPI Last Update Date: | 04/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401008547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |