Individual
JAMES ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
1649 BLADEN UNION CHURCH RD, FAYETTEVILLE, NC 28306-9428
(910) 366-1631
Mailing address
1649 BLADEN UNION CHURCH RD, FAYETTEVILLE, NC 28306
(910) 366-1631
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
9043A
NC
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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