Individual
MR. MICHAEL ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., CPHQ, CPHRM
Contact information
Practice address
1256 NE 169TH ST, SHORELINE, WA 98155-5934
(303) 903-8099
Mailing address
1256 NE 169TH ST, SHORELINE, WA 98155-5934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
608
FL
106H00000X
Marriage & Family Therapist
509
CO
106H00000X
Marriage & Family Therapist
Primary
MT000906
FL
Other
Enumeration date
12/25/2010
Last updated
02/12/2012
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