Roush, Michele Anne

Roush, Michele Anne is an individual health care provider with primary practice located at 1887 Monterey Hwy Ste 225 , San Jose CA 95112. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Roush, Michele Anne can be contacted via phone (408) 706-6855.

Contact Information

Primary practice address
1887 Monterey Hwy Ste 225 San Jose CA 95112
Phone: (408) 706-6855
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2012668 California

Profile Details

NPI number 1194026294
LBN Legal business name Roush, Michele Anne
Credentials MA, RASI
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2010
Last updated Jul 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194026294 NPPES
California Other ZZZ92069Z MEDICARE GROUP PTAN# SANTA CRUZ CA

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