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Keith Rose
Addiction (Substance Use Disorder) Counselor in Vacaville, California
NPI 1053818674

Keith Rose is an Addiction (Substance Use Disorder) Counselor based in Vacaville, CA and is specialized in Addiction (Substance Use Disorder). Keith Rose practices in Vacaville, CA. The NPI Number for Keith Rose is 1053818674 and holds a License No. (California).

The current practice location address for Keith Rose is 1286 Callen St, Vacaville, CA and can be reached out via phone at 707-447-8982.

Location: 1286 Callen St, Vacaville, CA, 95688-3002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053818674
Provider Name
Keith Rose
Credential
Provider Entity Type
Individual
Gender
Male
Address
1286 Callen St, Vacaville, CA, 95688-3002
Phone Number
707-447-8982
Fax Number
Provider Enumeration Date
04/10/2018
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
911861042 01 911861042
institution
Provider Business Practice Location Address Details
Address
1286 Callen St
City
Vacaville
State
California
Zip
95688-3002
Phone Number
707-447-8982
Fax Number
person
Provider Business Mailing Address Details
Address
1286 Callen St
City
Vacaville
State
California
Zip
95688-3002
Phone Number
707-447-8982
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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