Individual
CATHERINE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
4626 N 300 W STE 150, PROVO, UT 84604-6077
(801) 407-4134
Mailing address
4626 N 300 W STE 150, PROVO, UT 84604-6077
(801) 407-4134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8299593-6009
UT
Other
Enumeration date
03/05/2013
Last updated
07/29/2021
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