Individual
TONY G. ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, LPCC
Contact information
Practice address
110 VILLAGE DR, ELIZABETHTOWN, KY 42701-2423
(270) 401-4055
(270) 763-9618
Mailing address
110 VILLAGE DR, ELIZABETHTOWN, KY 42701-2423
(270) 401-4055
(270) 763-9618
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
KY1113
KY
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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