Individual
MS. REBECCA D ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 831-2700
(716) 819-1833
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
(716) 831-2700
(716) 819-1833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
221700000X
Art Therapist
002001
NY
Other
Enumeration date
08/17/2011
Last updated
07/15/2016
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