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Wakanda Rose, MA
Mental Health Counselor in Santa Rosa, California
NPI 1689128001

Wakanda Rose is a Mental Health Counselor based in Santa Rosa, CA and is specialized in Mental Health. Wakanda Rose practices in Santa Rosa, CA and has the professional credentials of MA. The NPI Number for Wakanda Rose is 1689128001 and holds a License No. (California).

The current practice location address for Wakanda Rose is 254 Brey Rd, Santa Rosa, CA and can be reached out via phone at 707-583-9304.

Location: 254 Brey Rd, Santa Rosa, CA, 95409-5556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689128001
Provider Name
Wakanda Rose
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
254 Brey Rd, Santa Rosa, CA, 95409-5556
Phone Number
707-583-9304
Fax Number
Provider Enumeration Date
08/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
254 Brey Rd
City
Santa Rosa
State
California
Zip
95409-5556
Phone Number
707-583-9304
Fax Number
person
Provider Business Mailing Address Details
Address
254 Brey Rd
City
Santa Rosa
State
California
Zip
95409-5556
Phone Number
707-583-9304
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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