Organization
ROSE LEGACY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEMIA MARIE WARNER LCSW (FOUNDER AND CEO)
(312) 342-1939
Entity
Organization
Contact information
Practice address
735A SILVERBERRY CIR SE, ALBUQUERQUE, NM 87116-3108
(505) 585-4276
Mailing address
735A SILVERBERRY CIR SE, ALBUQUERQUE, NM 87116-3108
(505) 585-4276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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