Individual
MRS. JO ANN PATRICIA ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1 ARMAND BEACH DR, SUITE 2A, PALM COAST, FL 32137-2266
(386) 445-6485
(386) 446-0523
Mailing address
1 ARMAND BEACH DR, SUITE 2A, PALM COAST, FL 32137-2638
(386) 445-6485
(386) 446-0523
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 1597
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11573878
CAQH
FL
Enumeration date
05/07/2007
Last updated
07/08/2007
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