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Individual
JONATHAN PAUL ROSE
Active
Individual
JONATHAN PAUL ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AMFT115767
CA
106H00000X
Marriage & Family Therapist
115767
CA
106H00000X
Marriage & Family Therapist
Primary
143160
CA
Other
Enumeration date
05/12/2018
Last updated
12/04/2023
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