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Organization
MOOSE COUNSELING & CONSULTING, LLC
Active
Organization
MOOSE COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED S. ROSE LPCC-S, NCC, EMDRC (OWNER/PROFESSIONAL CLINICAL COUNSEL)
(419) 410-1830
Entity
Organization
Contact information
Practice address
1351 S REYNOLDS RD STE B, TOLEDO, OH 43615-7411
(419) 410-1830
(419) 754-2510
Mailing address
1351 S REYNOLDS RD STE B, TOLEDO, OH 43615-7411
(419) 410-1830
(419) 754-2510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.1100184
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220898
—
OH
01
—
E.111100184
OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE & FAMILY THERAPIST BOARD
OH
Enumeration date
02/21/2018
Last updated
08/04/2022
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