MARY ROSE

LONGMONT, CO
NPI1912316993
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  11721)
Enumeration Date2014-08-04
Last Update Date2014-08-04
Business Address
-- MARY ROSE MA LPC CACII
709 3RD AVE
LONGMONT, CO 80501-5926
Phone number: 720-340-2710
Mailing Address
-- MARY ROSE MA LPC CACII
PO BOX 1301
LONGMONT, CO 80502-1301
Phone number: 720-340-2710
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