Individual
MS. JOANN J ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA MFT
Contact information
Practice address
390 W STEPHENSON ST, UKIAH, CA 95482
(707) 462-7749
Mailing address
390 W STEPHENSON ST, UKIAH, CA 95482
(707) 462-7749
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MFT28494
CA
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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