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Individual

CLAIRE ROSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC, LADC

Contact information

Practice address
800 PRAIRIE CENTER DR STE 210, EDEN PRAIRIE, MN 55344-7306
(952) 234-9210
Mailing address
800 PRAIRIE CENTER DR STE 210, EDEN PRAIRIE, MN 55344-7306
(952) 234-9210

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303891
MN
101YM0800X
Mental Health Counselor
Primary
2282
MN

Other

Enumeration date
12/15/2019
Last updated
12/20/2019
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