Doctor Name: | MRS. MARTHA MCNEESE ROSADO |
NPI Number: | 1780978247 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1457 |
Business Practice Address: | 11 Northtown Dr Suite 205 D Jackson, MS - 392113699 |
Business Phone Number: | 6019779101 |
Business Fax Number: | 6019779188 |
Mailing Address: | 203 Hunters Ridge Dr, CLINTON |
State: | MS |
Postal Code: | 390569479 |
Phone Number: | 6014341155 |
Fax Number: | 6019779188 |
NPI Enumeration Date: | 06/01/2011 |
NPI Last Update Date: | 06/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1457 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |