Individual
JAMIE ROSE BANKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2031 ROWLAND RD, MORA, MN 55051-7119
(320) 364-1314
(320) 364-1320
Mailing address
2031 ROWLAND RD, MORA, MN 55051-7119
(320) 364-1314
(320) 364-1320
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304934
MN
101YP2500X
Professional Counselor
2259
MN
101YP2500X
Professional Counselor
Primary
2424
—
Other
Enumeration date
03/11/2019
Last updated
05/13/2020
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