Individual
JEFFREY LEE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
300 MAPLE ST, BRATTLEBORO, VT 05301-6512
(802) 275-5655
Mailing address
300 MAPLE ST, BRATTLEBORO, VT 05301-6512
(802) 275-5655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134115
VT
101YP2500X
Professional Counselor
2416
CO
Other
Enumeration date
12/04/2007
Last updated
04/29/2020
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