Individual
MICHAEL JOSEPH ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
614 CLAIRMONT AVE, WEBSTER GROVES, MO 63119-2207
(314) 265-0849
Mailing address
614 CLAIRMONT AVE, WEBSTER GROVES, MO 63119-2207
(314) 265-0849
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013003765
MO
Other
Enumeration date
07/31/2006
Last updated
05/05/2021
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