Individual
JAMES JOSEPH ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CFLE CASE MNGMNT
Contact information
Practice address
4595 E LESTER ST, TUCSON, AZ 85712-3449
(520) 204-7958
Mailing address
5541 E GRANT RD, TUCSON, AZ 85712-2209
(520) 204-7958
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095189
—
AZ
05
—
096451
—
AZ
05
—
107487
—
AZ
01
—
HHA-00001
BANNER UFC
—
Enumeration date
07/14/2021
Last updated
09/06/2022
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