Provider Demographics
NPI:1245652890
Name:ROSENBERG, JOSIE (LMFT)
Entity type:Individual
Prefix:MS
First Name:JOSIE
Middle Name:
Last Name:ROSENBERG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 REMINGTON ST
Mailing Address - Street 2:UNIT 5
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3072
Mailing Address - Country:US
Mailing Address - Phone:646-209-9728
Mailing Address - Fax:
Practice Address - Street 1:19 OLD TOWN SQ
Practice Address - Street 2:UNIT M250
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2471
Practice Address - Country:US
Practice Address - Phone:646-209-9728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-16
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist