Provider Demographics
NPI:1841049681
Name:HONAKER, ROSETTA (MA)
Entity type:Individual
Prefix:
First Name:ROSETTA
Middle Name:
Last Name:HONAKER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:ROSETTA
Other - Middle Name:
Other - Last Name:SCARBRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 561
Mailing Address - Street 2:
Mailing Address - City:FAIRDALE
Mailing Address - State:WV
Mailing Address - Zip Code:25839-0561
Mailing Address - Country:US
Mailing Address - Phone:304-860-5223
Mailing Address - Fax:
Practice Address - Street 1:221 GEORGE ST
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-2609
Practice Address - Country:US
Practice Address - Phone:304-860-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health