Organization
ROSE GARDEN CLINIC, LLC
Active
Other names
Rosenquist Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC PAUL CHRISTIAN ROSENQUIST MS, LPC, LBP (LEAD COUNSELOR)
(580) 429-2700
Entity
Organization
Contact information
Practice address
509 WEST C AVE, CACHE, OK 73527
(580) 429-2700
(580) 429-2701
Mailing address
PO BOX 181, CACHE, OK 73527-0181
(580) 429-2700
(580) 429-2701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0109
OK
101YM0800X
Mental Health Counselor
CERT. SEX OFF TREATM
OK
101YP2500X
Professional Counselor
Primary
2757
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200334980A
—
OK
Enumeration date
07/26/2011
Last updated
07/26/2011
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