Provider Demographics
NPI:1881242519
Name:ROSENGREN COUNSELING AND CONSULTING, LLC
Entity type:Organization
Organization Name:ROSENGREN COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENT
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROSENGREN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:970-628-6726
Mailing Address - Street 1:1170 COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-3523
Mailing Address - Country:US
Mailing Address - Phone:970-628-6726
Mailing Address - Fax:
Practice Address - Street 1:1170 COLORADO AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3523
Practice Address - Country:US
Practice Address - Phone:970-628-6726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)