Individual provider · Type 1 NPI

Wakanda Rose, MA

Mental Health Counselor · Santa Rosa, CA

NPI number 1689128001 Active

About NPI 1689128001

Wakanda Rose, MA's National Provider Identifier is 1689128001, issued on Aug 15, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 15, 2016.