Individual
DR. JACQUELINE ANN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPCC-SUPV
Contact information
Practice address
10921 REED HARTMAN HWY STE 133, BLUE ASH, OH 45242-2851
(513) 984-9838
Mailing address
280 CLARK DR APT F47, CIRCLEVILLE, OH 43113-1491
(614) 595-7633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0002439SUPV
OH
Other
Enumeration date
01/09/2007
Last updated
09/13/2023
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