Provider Demographics
NPI:1467681320
Name:COLE, ROSANNE MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:ROSANNE
Middle Name:MARIE
Last Name:COLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ROSANNE
Other - Middle Name:MARIE
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1017 ROBERTSON ST
Mailing Address - Street 2:ATT: INNER HEALTH
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3926
Mailing Address - Country:US
Mailing Address - Phone:303-263-2872
Mailing Address - Fax:
Practice Address - Street 1:1017 ROBERTSON ST
Practice Address - Street 2:ATT: INNER HEALTH
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3926
Practice Address - Country:US
Practice Address - Phone:303-263-2872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical