Individual
MARY CATHERINE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
804 W FREEMAN AVE STE 9, BERRYVILLE, AR 72616-3141
(870) 340-2636
Mailing address
804 W FREEMAN AVE STE 9, BERRYVILLE, AR 72616-3141
(870) 340-2636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2407006
AR
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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