Individual
MR. ERIC PAUL CHRISTIAN ROSENQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, LBP
Contact information
Practice address
1204 W E AVE, CACHE, OK 73527-9434
(580) 429-9870
Mailing address
1204 W E AVE, CACHE, OK 73527-9434
(580) 429-9870
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0109
OK
101YP2500X
Professional Counselor
Primary
2757
OK
Other
Enumeration date
05/07/2011
Last updated
05/07/2011
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