Individual
JANA MARIE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2995 N COLE RD STE 225, BOISE, ID 83704-5966
(208) 243-9355
Mailing address
976 E VALENCIA ST, BOISE, ID 83706-5536
(208) 573-3778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
43972
ID
Other
Enumeration date
07/10/2020
Last updated
08/04/2025
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