Organization
JIM ROSE, LCPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ROSE LCPC (DIRECTOR)
(443) 691-5078
Entity
Organization
Contact information
Practice address
1 W CHURCH ST, FREDERICK, MD 21701-5991
(443) 691-5078
Mailing address
31 W PATRICK ST APT 401, FREDERICK, MD 21701-5563
(436) 915-0784
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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