Individual
JENNIFER D HOLDER ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2917 W BEAVER CREEK DR, POWELL, TN 37849-4830
(865) 888-1237
Mailing address
1909 BOYD ST, KNOXVILLE, TN 37921-3502
(865) 888-1237
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
221700000X
Art Therapist
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
07/19/2021
Last updated
07/28/2025
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