Individual
BRIAN DONALD ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
68615 PEREZ RD # 8A, CATHEDRAL CITY, CA 92234-7200
(760) 773-6768
Mailing address
68615 PEREZ RD # 8A, CATHEDRAL CITY, CA 92234-7200
(760) 773-6768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS12826
CA
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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