person
Stephanie Rene Rose, R1476520722
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1669233847

Stephanie Rene Rose is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Stephanie Rene Rose practices in San Jose, CA and has the professional credentials of R1476520722. The NPI Number for Stephanie Rene Rose is 1669233847 and holds a License No. R1476520722 (California).

The current practice location address for Stephanie Rene Rose is 9505 Malech Dr, San Jose, CA and can be reached out via phone at 408-281-6570 and via fax at 408-642-6052.

Location: 9505 Malech Dr, San Jose, CA, 95126-1461
person
Provider Profile Details
NPI Number
1669233847
Provider Name
Stephanie Rene Rose
Credential
R1476520722
Provider Entity Type
Individual
Gender
Female
Address
9505 Malech Dr, San Jose, CA, 95126-1461
Phone Number
408-281-6570
Fax Number
408-642-6052
Provider Enumeration Date
01/16/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9505 Malech Dr
City
State
Zip
95138-2002
Phone Number
408-281-6570
Fax Number
408-642-6052
person
Provider Business Mailing Address Details
Address
9505 Malech Dr
City
State
Zip
95138-2002
Phone Number
408-281-6570
Fax Number
408-642-6052
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1476520722 (California)
Definition
Definition to come...
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