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Zachery Michale Rose
Counselor in Rockford, Illinois
NPI 1871073551

Zachery Michale Rose is a Counselor based in Rockford, IL. Zachery Michale Rose practices in Rockford, IL. The NPI Number for Zachery Michale Rose is 1871073551 and holds a License No. (Illinois).

The current practice location address for Zachery Michale Rose is 2704 N Main St, Rockford, IL and can be reached out via phone at 815-968-9300.

Location: 2704 N Main St, Rockford, IL, 61107-3877
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871073551
Provider Name
Zachery Michale Rose
Credential
Provider Entity Type
Individual
Gender
Male
Address
2704 N Main St, Rockford, IL, 61107-3877
Phone Number
815-968-9300
Fax Number
Provider Enumeration Date
08/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2704 N Main St
City
Rockford
State
Illinois
Zip
61103-3112
Phone Number
815-968-9300
Fax Number
person
Provider Business Mailing Address Details
Address
2704 N Main St
City
Rockford
State
Illinois
Zip
61103-3112
Phone Number
815-968-9300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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