Individual
CRYSTAL CHANNING ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11883 PERRY HWY STE D, WEXFORD, PA 15090-7353
(724) 987-2993
Mailing address
108 SYCAMORE ST, JEANNETTE, PA 15644-2641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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