Individual provider · Type 1 NPI

Stacey Rose

Addiction (Substance Use Disorder) Counselor · Ardmore, OK

NPI number 1861820524 Active

Practice location

2530 S Commerce St
Ardmore, OK 73401-5519

Fax (580) 223-2487

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1861820524

Stacey Rose's National Provider Identifier is 1861820524, issued on Oct 16, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ardmore, OK. The record was last updated on Oct 16, 2013.