Individual
MARCOS ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
475 CLINTON AVE, BRIDGEPORT, CT 06605-1700
(203) 368-4291
(203) 368-9167
Mailing address
475 CLINTON AVE, BRIDGEPORT, CT 06605-1700
(203) 368-4291
(203) 368-9167
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002089
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004069985
—
CT
Enumeration date
05/24/2019
Last updated
07/02/2022
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