Individual
KATHRYN ANNE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW-I
Contact information
Practice address
75 E FORT UNION BLVD STE 135, MIDVALE, UT 84047-1531
(801) 603-2547
(801) 649-0964
Mailing address
650 E 4500 S STE 300, MURRAY, UT 84107-4502
(800) 261-3500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831678168
—
UT
Enumeration date
08/08/2018
Last updated
08/06/2021
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