Individual
JAMES ROBERT ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 W PATRICK ST APT 401, FREDERICK, MD 21701-5563
(443) 691-5078
Mailing address
31 W PATRICK ST APT 401, FREDERICK, MD 21701-5563
(443) 691-5078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP8187
MD
Other
Enumeration date
07/04/2019
Last updated
07/04/2019
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