Individual
MRS. AUDREY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6450 W TOUHY AVE, NILES, IL 60714-4512
(847) 869-0520
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 982-6710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
180013837
IL
Other
Enumeration date
12/20/2018
Last updated
03/13/2026
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