Individual
CYNTHIA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16301 SONOMA PARK DRIVE, EDMOND, OK 73013
(405) 210-4365
Mailing address
16125 LEDGE LN, EDMOND, OK 73013-3224
(405) 210-4365
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
09/17/2023
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