Individual
DIANE PERCEVAULT ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6086
(609) 396-0952
Mailing address
14 WASHINGTON ST, ROCKY HILL, NJ 08553-1026
(609) 924-6138
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00185700
NJ
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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