Provider Demographics
NPI:1912054636
Name:KROLL, ROSEMARY (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:
Last Name:KROLL
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:ROSEMARY
Other - Middle Name:
Other - Last Name:SCHWEDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4515 N VERITY RD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48657-9389
Mailing Address - Country:US
Mailing Address - Phone:989-687-2737
Mailing Address - Fax:
Practice Address - Street 1:4008 W WACKERLY ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-1800
Practice Address - Country:US
Practice Address - Phone:989-633-9021
Practice Address - Fax:989-633-9026
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401005668101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional