Provider Demographics
NPI:1013214618
Name:BITZER, ROSEANNE (MSE, LPC)
Entity Type:Individual
Prefix:
First Name:ROSEANNE
Middle Name:
Last Name:BITZER
Suffix:
Gender:F
Credentials:MSE, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 ELLIS AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54806-1667
Mailing Address - Country:US
Mailing Address - Phone:715-682-3523
Mailing Address - Fax:715-682-3526
Practice Address - Street 1:301 ELLIS AVE STE 1
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:WI
Practice Address - Zip Code:54806-1667
Practice Address - Country:US
Practice Address - Phone:715-682-3523
Practice Address - Fax:715-682-3526
Is Sole Proprietor?:No
Enumeration Date:2011-02-16
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI747-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional