Stacey Rose

NPI #1861820524 in Ardmore, Oklahoma

Provider Information

NPI Number: 1861820524
Entity Type: Individual
Name: Stacey Rose
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Oct 16, 2013
Last Updated: Oct 16, 2013

Practice Location

Address: 2530 S COMMERCE ST
City: Ardmore
State: Oklahoma
ZIP Code: 73401-5519
Phone: (580) 223-2537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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