Provider Demographics
NPI:1891821468
Name:ROSSER, VICTORIA K (MS, LPC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:K
Last Name:ROSSER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:K
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1414 W MEREDITH LN
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-6176
Mailing Address - Country:US
Mailing Address - Phone:719-547-9555
Mailing Address - Fax:
Practice Address - Street 1:720 N MAIN ST
Practice Address - Street 2:SUITE 335
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003-3020
Practice Address - Country:US
Practice Address - Phone:719-250-7818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO820101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional