Provider Demographics
NPI:1447985486
Name:HERSEY, ROSELLA GRACE (LMFT)
Entity type:Individual
Prefix:
First Name:ROSELLA
Middle Name:GRACE
Last Name:HERSEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:ROSELLA
Other - Middle Name:GRACE
Other - Last Name:HERSEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ROZI HERSEY, LMFT
Mailing Address - Street 1:301 BELDEN ST APT 8
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-1843
Mailing Address - Country:US
Mailing Address - Phone:502-525-2009
Mailing Address - Fax:
Practice Address - Street 1:301 BELDEN ST APT 8
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-1843
Practice Address - Country:US
Practice Address - Phone:502-525-2009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA127268106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist