Individual
WHITNEY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1211 S RESERVE ST STE 101, MISSOULA, MT 59801-3103
(406) 327-3057
(406) 327-3231
Mailing address
2 KASOTA CT, MISSOULA, MT 59803-1257
(406) 672-5004
(406) 830-3156
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-16879
MT
Other
Enumeration date
04/21/2016
Last updated
06/21/2021
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