Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Rose, MALPCCACII

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1912316993

Mary Rose, MALPCCACII is an Addiction (Substance Use Disorder) Counselor in Longmont, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2014

Practice location Address checks out

709 3rd Ave
Longmont, CO 80501-5926
Phone: (720) 340-2710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 11721 (CO)

Record details

NPI number1912316993
Entity typeIndividual (Type 1)
GenderFemale
Credentials MALPCCACII
Sole proprietorYes
NPI enumeratedAugust 4, 2014
Last updated in NPPESAugust 4, 2014

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