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Individual
LEXUS ROSE
Active
Individual
LEXUS ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.018028
IL
101YM0800X
Mental Health Counselor
180.017143
IL
101YM0800X
Mental Health Counselor
Primary
37PC01211900
NJ
Other
Enumeration date
06/09/2022
Last updated
06/01/2026
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