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Tatiyana Renae Rose
Mental Health Counselor in Graham, Washington
NPI 1083259063

Tatiyana Renae Rose is a Mental Health Counselor based in Graham, WA and is specialized in Mental Health. Tatiyana Renae Rose practices in Graham, WA. The NPI Number for Tatiyana Renae Rose is 1083259063 and holds a License No. (Washington).

The current practice location address for Tatiyana Renae Rose is 21120 Meridian Ave E, Graham, WA and can be reached out via phone at 253-414-7461.

Location: 21120 Meridian Ave E, Graham, WA, 98338-8254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083259063
Provider Name
Tatiyana Renae Rose
Credential
Provider Entity Type
Individual
Gender
Female
Address
21120 Meridian Ave E, Graham, WA, 98338-8254
Phone Number
253-414-7461
Fax Number
Provider Enumeration Date
11/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21120 Meridian Ave E
City
Graham
State
Washington
Zip
98338-8254
Phone Number
253-414-7461
Fax Number
person
Provider Business Mailing Address Details
Address
21120 Meridian Ave E
City
Graham
State
Washington
Zip
98338-8254
Phone Number
253-414-7461
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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