Individual
ANGELA T ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, QMHP-A
Contact information
Practice address
240 EXECUTIVE CENTER PKWY, FREDERICKSBURG, VA 22401-3107
(540) 242-9114
Mailing address
240 EXECUTIVE CENTER PKWY, FREDERICKSBURG, VA 22401-3107
(540) 242-9114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102696
VA
Other
Enumeration date
02/08/2021
Last updated
02/26/2022
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