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Individual
MR. RICHARD L ROUSE JR.
Active
Individual
MR. RICHARD L ROUSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0080251
NM
101YM0800X
Mental Health Counselor
178003890
IL
101YP2500X
Professional Counselor
Primary
3977-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43732700
—
WI
Enumeration date
10/31/2006
Last updated
06/04/2009
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