person
Ms. Vicki J Rose, BS,CADC
Addiction (Substance Use Disorder) Counselor in Galesburg, Illinois
NPI 1366566036

Vicki J Rose is an Addiction (Substance Use Disorder) Counselor based in Galesburg, IL and is specialized in Addiction (Substance Use Disorder). Vicki J Rose practices in Galesburg, IL and has the professional credentials of BS,CADC. The NPI Number for Vicki J Rose is 1366566036 and holds a License No. (Illinois).

The current practice location address for Vicki J Rose is 2323 Windish Dr, Galesburg, IL and can be reached out via phone at 309-344-4200 and via fax at 309-344-4281.

Location: 2323 Windish Dr, Galesburg, IL, 61401-9780
person
Provider Profile Details
NPI Number
1366566036
Provider Name
Vicki J Rose
Credential
BS,CADC
Provider Entity Type
Individual
Gender
Female
Address
2323 Windish Dr, Galesburg, IL, 61401-9780
Phone Number
309-344-4200
Fax Number
309-344-4281
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370984175 01 IL FEIN ORGANIZATION
institution
Provider Business Practice Location Address Details
Address
2323 Windish Dr
City
State
Zip
61401-9780
Phone Number
309-344-4200
Fax Number
309-344-4281
person
Provider Business Mailing Address Details
Address
2323 Windish Dr
City
State
Zip
61401-9780
Phone Number
309-344-4200
Fax Number
309-344-4281
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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