Individual
MR. MICHAEL ALAN ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 S PLEASANT GROVE BLVD, UNIT 3, PLEASANT GROVE, UT 84062-2161
(801) 637-5118
Mailing address
151 S PLEASANT GROVE BLVD, UNIT 3, PLEASANT GROVE, UT 84062-2161
(801) 637-5118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/18/2012
Last updated
03/18/2012
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