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Individual

JULIE CHRISTINE ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
7800 E SETTLEMENT AVE, WASILLA, AK 99654-9342
(907) 841-5807
Mailing address
7800 E SETTLEMENT AVE, WASILLA, AK 99654-9342
(907) 841-5807

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
163890
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163890
LICENSED PROFESSIONAL COUNSELOR
AK
Enumeration date
06/17/2021
Last updated
06/17/2021
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