Individual provider · Type 1 NPI

Therese Madden Rose

Mental Health Counselor · Beaverton, OR

NPI number 1073138145 Active

Practice location

5965 SW Menlo Dr Apt A211
Beaverton, OR 97005-4820

Call (215) 301-9191 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMFT25018 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1073138145

Therese Madden Rose's National Provider Identifier is 1073138145, issued on Jun 14, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beaverton, OR. The record was last updated on Jun 14, 2020.