Individual
MRS. CHERYL LYNN ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LLP
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6301010900
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301010900
STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH LICENSE
MI
Enumeration date
10/17/2011
Last updated
12/07/2020
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