Individual
JOHN B ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
29 ORCHARD LN, FREDERICKSBURG, PA 17026-9108
(717) 865-6104
Mailing address
29 ORCHARD LN, FREDERICKSBURG, PA 17026-9108
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000242
PA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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