Individual provider · Type 1 NPI

Stephanie Rene Rose, R1476520722

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1669233847 Active

Practice location

9505 Malech Dr
San Jose, CA 95138-2002

Call (408) 281-6570 Map

Fax (408) 642-6052

Mailing address

1922 The Alameda Ste 316
San Jose, CA 95126-1461

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1476520722 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1669233847

Stephanie Rene Rose, R1476520722's National Provider Identifier is 1669233847, issued on Jan 16, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Jan 16, 2024.