STEPHANIE RENE ROSE

SAN JOSE, CA
NPI1669233847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1476520722)
Enumeration Date2024-01-16
Last Update Date2024-01-16
Business Address
STEPHANIE RENE ROSE R1476520722
9505 MALECH DR
SAN JOSE, CA 95138-2002
Phone number: 408-281-6570
Mailing Address
STEPHANIE RENE ROSE R1476520722
1922 THE ALAMEDA STE 316
SAN JOSE, CA 95126-1461
Phone number: 408-261-7777