Individual
DR. JANE ROYSE ROSKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP, LPC
Contact information
Practice address
13100 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1810
(952) 206-2040
(952) 206-2041
Mailing address
5320 HYLAND GREENS DR, BLOOMINGTON, MN 55437-3934
(952) 993-2400
(952) 993-2522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC 4441
PA
101YP2500X
Professional Counselor
PC000514
PR
103TC0700X
Clinical Psychologist
4279
NC
103TC0700X
Clinical Psychologist
Primary
LP5637
MN
Other
Enumeration date
11/15/2012
Last updated
06/05/2019
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