Individual
JENNIFER ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4417 W GORE BLVD STE 2, LAWTON, OK 73505-5978
(580) 695-6964
(205) 941-8036
Mailing address
4417 W GORE BLVD STE 2, LAWTON, OK 73505-5978
(580) 695-6964
(205) 941-8036
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04700
AL
101YP2500X
Professional Counselor
Primary
11494
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
842109641
—
AL
Enumeration date
01/15/2021
Last updated
08/04/2026
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