Individual
REBEKAH LEE ANN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
AR
101YP2500X
Professional Counselor
Primary
P1408059
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229127719
—
AR
Enumeration date
04/30/2008
Last updated
11/16/2022
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