Individual
HOLLY KATHERYNE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14532 STATE ROUTE 23, WAVERLY, OH 45690
(740) 947-2364
Mailing address
1113 KENT ST APT 8G, PORTSMOUTH, OH 45662-2564
(740) 949-6727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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