Individual
DEREK ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
505 OLD YORK RD, STE 110, JENKINTOWN, PA 19046
(215) 315-7964
Mailing address
505 OLD YORK RD, STE 110, JENKINTOWN, PA 19046
(215) 315-7964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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