Individual
MRS. MARY ROSE MOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 25TH AVE N STE 1220, NASHVILLE, TN 37203-1640
(802) 393-4567
Mailing address
210 25TH AVE N STE 1220, NASHVILLE, TN 37203-1640
(802) 393-4567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
21818
NC
101YP2500X
Professional Counselor
4906
CA
106H00000X
Marriage & Family Therapist
Primary
104993
CA
106H00000X
Marriage & Family Therapist
2620
TN
Other
Enumeration date
07/02/2013
Last updated
08/06/2025
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