Individual provider · Type 1 NPI

Jacqueline Ann Rose, PhD, LPCC-SUPV

Professional Counselor · Blue Ash, OH

NPI number 1740339803 Active

Practice location

10921 Reed Hartman Hwy Ste 133
Blue Ash, OH 45242-2851

Mailing address

280 Clark Dr Apt F47
Circleville, OH 43113-1491

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XE.0002439SUPV (OH)

Professional Counselor: Definition to come...

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About NPI 1740339803

Jacqueline Ann Rose, PhD, LPCC-SUPV's National Provider Identifier is 1740339803, issued on Jan 9, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Blue Ash, OH. The record was last updated on Sep 13, 2023.