Individual
CASSEY ST.ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
101 E WEED ST, SAINT MARYS, GA 31558-8370
(907) 385-2165
Mailing address
101 E WEED ST, SAINT MARYS, GA 31558-8370
(907) 385-2165
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009471
GA
Other
Enumeration date
03/26/2014
Last updated
11/20/2019
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