Provider Demographics
NPI:1164721858
Name:ROSEMOND, GEORGE FREDRICK JR (MA IN COUNSELING)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:FREDRICK
Last Name:ROSEMOND
Suffix:JR
Gender:M
Credentials:MA IN COUNSELING
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 GREGORY AVE APT D8
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4847
Mailing Address - Country:US
Mailing Address - Phone:973-652-0609
Mailing Address - Fax:
Practice Address - Street 1:1293 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003
Practice Address - Country:US
Practice Address - Phone:973-652-0602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health