Individual
MISS ANDREA NICOLE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5010 FIELD ST, SAN DIEGO, CA 92110-1029
(619) 261-2601
Mailing address
5010 FIELD ST, SAN DIEGO, CA 92110-1029
(619) 261-2601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60129
CA
1041C0700X
Clinical Social Worker
Primary
118699
CA
Other
Enumeration date
02/02/2007
Last updated
04/27/2026
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