Individual
MS. ROSALIND SERENA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LAC,
Contact information
Practice address
1615 PHEASANT BROOK CIRCLE, SUITE 2, LAUREL, MT 59044-9314
(406) 696-3111
Mailing address
1615 PHEASANT BROOK CIRCLE, SUITE 2, LAUREL, MT 59044-9314
(406) 696-3111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1000
MT
101YM0800X
Mental Health Counselor
1000
MT
101YM0800X
Mental Health Counselor
Primary
332925-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254830
—
MT
01
—
740150
BLUE CROSS BLUE SHIELD PR
MT
Enumeration date
02/12/2007
Last updated
09/11/2025
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