Organization
A NEW HORIZONS COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROXANNE MAE ROSE LICSW (OWNER/LICENSED CERTIFIED SOCIAL WOR)
(701) 662-5590
Entity
Organization
Contact information
Practice address
507 4TH ST NE, DEVILS LAKE, ND 58301-2501
(701) 662-5590
Mailing address
507 4TH ST NE, DEVILS LAKE, ND 58301-2501
(701) 662-5590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2096
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1465157
—
ND
Enumeration date
10/07/2015
Last updated
03/16/2016
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