Individual provider · Type 1 NPI
Diane Percevault Rose, L.P.C.
Professional Counselor · Trenton, NJ
NPI number
1457764979
Active
Practice location
750 Brunswick Ave
Trenton, NJ 08638-4143
Fax (609) 396-0952
Mailing address
14 Washington St
Rocky Hill, NJ 08553-1026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00185700 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1457764979
Diane Percevault Rose, L.P.C.'s National Provider Identifier is 1457764979, issued on Jun 3, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Trenton, NJ. The record was last updated on Jun 3, 2014.