Provider Demographics
NPI:1588403489
Name:ROSELIUS, CARALEE FAY
Entity type:Individual
Prefix:MRS
First Name:CARALEE
Middle Name:FAY
Last Name:ROSELIUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CARALEE
Other - Middle Name:FAY
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, CRC
Mailing Address - Street 1:710 LINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-4429
Mailing Address - Country:US
Mailing Address - Phone:715-927-0885
Mailing Address - Fax:
Practice Address - Street 1:710 LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-4429
Practice Address - Country:US
Practice Address - Phone:715-927-0885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI00116667225C00000X
WI5500-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor