Individual
AMANDA ROSE ROUGEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MT-BC, LPC
Contact information
Practice address
615 W CHESTNUT ST APT E4, WEST CHESTER, PA 19380-2549
(732) 947-6992
Mailing address
615 W CHESTNUT ST APT E4, WEST CHESTER, PA 19380-2549
(732) 947-6992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC017525
PA
225A00000X
Music Therapist
14893
PA
Other
Enumeration date
04/24/2019
Last updated
09/27/2024
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