Individual
MS. SHERRI LYNN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 E SANTA CLARA ST, SAN JOSE, CA 95116-2244
(408) 299-8653
Mailing address
2009 MALDEN AVE, SAN JOSE, CA 95122-2935
(408) 971-0435
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
167G00000X
Licensed Psychiatric Technician
Primary
PT21166
CA
Other
Enumeration date
07/02/2007
Last updated
04/23/2010
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