Individual
COURTLYNN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MULBERRY ST, INDEPENDENCE, KS 67301-2026
(620) 331-8789
Mailing address
604 N 8TH ST, INDEPENDENCE, KS 67301-2702
(620) 330-2376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04799-T
KS
Other
Enumeration date
09/14/2024
Last updated
09/14/2024
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