person
Ken Tomas Rose
Mental Health Counselor in Puyallup, Washington
NPI 1114153715

Ken Tomas Rose is a Mental Health Counselor based in Federal Way, WA and is specialized in Mental Health. Ken Tomas Rose practices in Puyallup, WA. The NPI Number for Ken Tomas Rose is 1114153715 and holds a License No. CG60146768 (Washington).

The current practice location address for Ken Tomas Rose is 325 E Pioneer, Puyallup, WA and can be reached out via phone at 253-697-8400 and via fax at 253-697-3730.

Location: 325 E Pioneer, Puyallup, WA, 98003-6639
person
Provider Profile Details
NPI Number
1114153715
Provider Name
Ken Tomas Rose
Credential
Provider Entity Type
Individual
Gender
Male
Address
325 E Pioneer, Puyallup, WA, 98003-6639
Phone Number
253-697-8400
Fax Number
253-697-3730
Provider Enumeration Date
06/09/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
325 E Pioneer
City
State
Zip
98372-3265
Phone Number
253-697-8400
Fax Number
253-697-3730
person
Provider Business Mailing Address Details
Address
325 E Pioneer
City
State
Zip
98372-3265
Phone Number
253-697-8400
Fax Number
253-697-3730
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CG60146768 (Washington)
Definition
Definition to come...
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