Individual
BRANDON ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
314 NW 5TH ST STE 314, OKEECHOBEE, FL 34972-2565
(304) 784-6689
Mailing address
1300 SW 83RD AVE, OKEECHOBEE, FL 34974-3361
(863) 532-1786
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
01/17/2013
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