Provider Demographics
NPI:1750056164
Name:LEONE, ROSEMARY ANNE (MA, MFTC)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:ANNE
Last Name:LEONE
Suffix:
Gender:F
Credentials:MA, MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 E 130TH DR
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-1104
Mailing Address - Country:US
Mailing Address - Phone:303-503-0098
Mailing Address - Fax:
Practice Address - Street 1:8774 YATES DR STE 135
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6966
Practice Address - Country:US
Practice Address - Phone:719-422-3382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014196106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COMFTC.0014196OtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES