Provider Demographics
NPI:1801783642
Name:ROSADO, YESENIA (LPCC)
Entity type:Individual
Prefix:
First Name:YESENIA
Middle Name:
Last Name:ROSADO
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 92572
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90809-2572
Mailing Address - Country:US
Mailing Address - Phone:310-974-0533
Mailing Address - Fax:
Practice Address - Street 1:2512 ARTESIA BLVD STE 110
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-3265
Practice Address - Country:US
Practice Address - Phone:310-974-0533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19691101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional