Individual
JENNIFER LOUISE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS COUNSELOR ED
Contact information
Practice address
2600 CORDOVA ST STE 101, ANCHORAGE, AK 99503-2745
(907) 279-9634
Mailing address
2600 CORDOVA ST STE 101, ANCHORAGE, AK 99503-2745
(907) 279-9634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/11/2019
Last updated
05/01/2020
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