Individual
RACHEL D ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
760 BANTAM RD, BANTAM, CT 06750-1603
(860) 361-9333
(860) 361-9334
Mailing address
232 NOTTING HILL GATE, TORRINGTON, CT 06790-6066
(860) 459-7942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001446
CT
101YP2500X
Professional Counselor
Primary
001446
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240001446CT02
ANTHEM
CT
Enumeration date
02/13/2007
Last updated
01/25/2015
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