Provider Demographics
NPI:1699390930
Name:JENNIFER ROZELL-WHITAKER AND ASSOCIATES
Entity Type:Organization
Organization Name:JENNIFER ROZELL-WHITAKER AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZELL-WHITAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, ATR-BC
Authorized Official - Phone:412-737-3030
Mailing Address - Street 1:1218 NORTHWESTERN DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-4404
Mailing Address - Country:US
Mailing Address - Phone:412-737-3030
Mailing Address - Fax:
Practice Address - Street 1:1218 NORTHWESTERN DR
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-4404
Practice Address - Country:US
Practice Address - Phone:412-737-3030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty