Mary Rose, MA LPC CACII

NPI #1912316993 in Longmont, Colorado

Provider Information

NPI Number
1912316993
Entity Type
Individual
Name
Mary Rose, MA LPC CACII
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
MA LPC CACII
Enumeration Date
Aug 4, 2014
Last Updated
Aug 4, 2014

Practice Location

Address
709 3RD AVE
ZIP Code
80501-5926
Phone
(720) 340-2710

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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