Jennifer Michele Rozdal | Los Alamitos, CA • PECOS Search

Jennifer Michele Rozdal

Marriage & Family Therapist

Behavioral Health & Social Service Providers

5212 Katella Ave Ste 104, Los Alamitos, CA 90720-6829

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Michele Rozdal does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1346370830
Provider Type
Individual
Full Name
Rozdal, Jennifer Michele
Title
Ms.
Credential
LICENSED MFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/6/2007
Last Updated
4/21/2021

Contact Information

Practice Location

5212 Katella Ave Ste 104, Los Alamitos, CA 90720-6829

Unlisted Fax

Mailing Location

5212 Katella Ave Ste 104, Los Alamitos, CA 90720-6829

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC 43237 California