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Individual
MR. VERNON ROSE JR.
Active
Individual
MR. VERNON ROSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07-09-64
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-09-64
CERTIFIED ALCOHOL AND DRUG COUNSELOR LEVEL II
OR
05
—
500730386
—
OR
Enumeration date
03/21/2017
Last updated
10/29/2020
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