Individual
SASHELLE P ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED., LMHCA
Contact information
Practice address
4150 ILLINOIS RD, FORT WAYNE, IN 46804-1208
(877) 594-9204
Mailing address
6628 SWEET WOOD CT, FORT WAYNE, IN 46814-8125
(260) 440-6417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002494A
IN
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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