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Jim Rose, Lcpc, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Frederick, Maryland
NPI 1477293371

Jim Rose, Lcpc, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Frederick, MD and is specialized in Mental Health (Including Community Mental Health Center). Jim Rose, Lcpc, Llc practices in Frederick, MD. The NPI Number for Jim Rose, Lcpc, Llc is 1477293371 and holds a License No. (Maryland).

The current practice location address for Jim Rose, Lcpc, Llc is 1 W Church St, Frederick, MD and can be reached out via phone at 443-691-5078.

Location: 1 W Church St, Frederick, MD, 21701-5563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477293371
Provider Name
Jim Rose, Lcpc, Llc
Credential
Provider Entity Type
Organization
Address
1 W Church St, Frederick, MD, 21701-5563
Phone Number
443-691-5078
Fax Number
Provider Enumeration Date
03/30/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1 W Church St
City
Frederick
State
Maryland
Zip
21701-5991
Phone Number
443-691-5078
Fax Number
person
Provider Business Mailing Address Details
Address
1 W Church St
City
Frederick
State
Maryland
Zip
21701-5991
Phone Number
443-691-5078
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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