Provider Demographics
NPI:1023381233
Name:VENTURA, ROSANNA MENNONE (MS)
Entity Type:Individual
Prefix:MRS
First Name:ROSANNA
Middle Name:MENNONE
Last Name:VENTURA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 PICKNEY AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-3013
Mailing Address - Country:US
Mailing Address - Phone:860-302-5157
Mailing Address - Fax:
Practice Address - Street 1:791 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PLANTSVILLE
Practice Address - State:CT
Practice Address - Zip Code:06479-1519
Practice Address - Country:US
Practice Address - Phone:860-378-8090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-17
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002460101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional