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Individual

ADAM ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC, NCC

Contact information

Practice address
121 FOREST VIEW DR, COLUMBIA, IL 62236-1037
(314) 722-8720
Mailing address
121 FOREST VIEW DR, COLUMBIA, IL 62236-1037
(314) 722-8720

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.016380
IL

Other

Enumeration date
09/26/2024
Last updated
09/26/2024
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