Individual provider · Type 1 NPI

Douglas Rose

Addiction (Substance Use Disorder) Counselor · Cheyenne, WY

NPI number 1801104070 Active

Practice location

507 E 18th St
Cheyenne, WY 82001-4617

Fax (307) 635-3965

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCAP-028 (WY)

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

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About NPI 1801104070

Douglas Rose's National Provider Identifier is 1801104070, issued on Sep 21, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cheyenne, WY. The record was last updated on Sep 21, 2010.