Provider Demographics
NPI:1518360312
Name:ROSA, FRANCES (MS, LPC)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:ROSA
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9230 OLD KEENE MILL RD # 1069
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-4201
Mailing Address - Country:US
Mailing Address - Phone:571-989-3741
Mailing Address - Fax:
Practice Address - Street 1:9230 OLD KEENE MILL RD # 1069
Practice Address - Street 2:
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-4201
Practice Address - Country:US
Practice Address - Phone:571-989-3741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-07
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC15085101YM0800X
VA0701008237101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health