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Individual
ROSE OBAZE
Active
Individual
ROSE OBAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4220
TX
101YP2500X
Professional Counselor
Primary
13926
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0957664-04
—
TX
Enumeration date
06/18/2008
Last updated
07/06/2023
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