Roseann I Connerley, LMFT
Individual provider Active NPI Professional Counselor · Redlands, CA
NPI 1972633113 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972633113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- MFC36098 (CA)
- Practice address
- 245 Terracina Blvd Ste 206
Redlands, CA 92373-4867 - Phone
- (909) 307-9824
- Fax
- (909) 335-9634
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC36098 | CA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MFC36098 | CA | Yes |
Addresses
Primary practice location
245 Terracina Blvd Ste 206
Redlands, CA 92373-4867
Mailing address
245 Terracina Blvd Ste 206
Redlands, CA 92373-4867
Phone (909) 307-9824
Other providers in Redlands, CA
- Marissa Congdon
- Gustavo Marcelo Congo
- Congregate of Redlands
- Kimberly Elyse Conley
- Connect Hearing, Inc.
- Consumerhealth, Inc.
- Consumerhealth, Inc.
- Jeanette Contreras
- Convy LLC
- Ericca Nicole Cook
All providers in Redlands, CA · Professional Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.