Individual
ANDREA LYN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-A, NCC
Contact information
Practice address
146 BEAU LN, KYLE, TX 78640-4634
(512) 771-4645
Mailing address
146 BEAU LN, KYLE, TX 78640-4634
(512) 771-4645
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
85402
TX
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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