# KINTSUKUROI MENTAL HEALTH & WELLNESS SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326861329
- **Authorized official:** DR. JARED S ROSE LPCC-S (CO-OWNER/PROFESSIONAL CLINICAL COUN)
- **Authorized official phone:** (419) 787-3780

## Contact information

- **Practice address:** 1351 S REYNOLDS RD STE B, TOLEDO, OH 43615-7411
- **Practice address phone:** (419) 410-1830
- **Mailing address:** 1351 S REYNOLDS RD STE B, TOLEDO, OH 43615-7411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2024
- **Last updated:** 03/12/2025