Individual
TASHA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
148 CLEVELAND AVE, HARTFORD, CT 06120-1049
(860) 995-2491
Mailing address
148 CLEVELAND AVE, HARTFORD, CT 06120-1049
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
4785
CT
Other
Enumeration date
03/05/2019
Last updated
03/02/2021
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