Provider Demographics
NPI:1003918020
Name:ROSNER, TAMIRA LYNN (MED, LPCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:TAMIRA
Middle Name:LYNN
Last Name:ROSNER
Suffix:
Gender:F
Credentials:MED, LPCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21351 GENTRY DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-8510
Mailing Address - Country:US
Mailing Address - Phone:703-444-3315
Mailing Address - Fax:703-444-3317
Practice Address - Street 1:21351 GENTRY DR
Practice Address - Street 2:SUITE 250
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-8510
Practice Address - Country:US
Practice Address - Phone:703-444-3315
Practice Address - Fax:703-444-3317
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2970101Y00000X
VA0701004768101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional