DR. Jacqueline Ann Rose, PHD, LPCC-SUPV

NPI #1740339803 in Blue Ash, Ohio

Provider Information

NPI Number: 1740339803
Entity Type: Individual
Name: DR. Jacqueline Ann Rose, PHD, LPCC-SUPV
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: PHD, LPCC-SUPV
Enumeration Date: Jan 9, 2007
Last Updated: Sep 13, 2023

Practice Location

Address: 10921 REED HARTMAN HWY STE 133
City: Blue Ash
State: Ohio
ZIP Code: 45242-2851
Phone: (513) 984-9838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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