Individual
MARILYN M ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N POPLAR ST, NEWTON, KS 67114-1956
(316) 993-6449
Mailing address
912 S RIDGE RD, NEWTON, KS 67114-9752
(617) 412-7448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
04806
KS
101YP2500X
Professional Counselor
Primary
04806
KS
Other
Enumeration date
08/15/2024
Last updated
11/21/2024
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