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Organization

RENEE ROSE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RENEE ROSE MA, LPC, ATR (OWNER)
(616) 888-5585
Entity
Organization

Contact information

Practice address
2084 PINEWOOD ST, JENISON, MI 49428-9117
(616) 888-5585
Mailing address
PO BOX 851, JENISON, MI 49429-0851
(616) 888-5585

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor

Other

Enumeration date
06/19/2019
Last updated
02/20/2023
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