Individual
DOUG ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2545 HIGHWAY 4, JONESBORO, LA 71251-6909
(318) 439-1399
(855) 334-8166
Mailing address
PO BOX 9, QUITMAN, LA 71268-0009
(318) 439-1399
(855) 334-8166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2509
LA
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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