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Individual

LOU ANN ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFTA, LCDC

Contact information

Practice address
501 S CARROLL BLVD STE 230, DENTON, TX 76201-7423
(469) 626-7511
(469) 613-0883
Mailing address
501 S CARROLL BLVD STE 230, DENTON, TX 76201-7423
(469) 626-7511
(469) 613-0883

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15773
TX
106H00000X
Marriage & Family Therapist
Primary
204433
TX

Other

Enumeration date
02/09/2023
Last updated
02/09/2023
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