Stephanie Rene Rose, R1476520722
Stephanie Rene Rose, R1476520722 is an Addiction (Substance Use Disorder) Counselor in San Jose, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
9505 Malech DrSan Jose, CA 95138-2002
Phone: (408) 281-6570
Fax: (408) 642-6052
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence R1476520722 (CA) |
|---|
Record details
| NPI number | 1669233847 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | R1476520722 |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2024 |
| Last updated in NPPES | January 16, 2024 |
| Certification date | January 16, 2024 |
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