| Keith Rose, | |
|
1286 Callen St, Vacaville, CA 95688-3002 | |
| (707) 447-8982 | |
| Not Available |
| Full Name | Keith Rose |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1286 Callen St, Vacaville, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053818674 | NPI | - | NPPES |
| 911861042 | Other | 911861042 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Rose, 1286 Callen St, Vacaville, CA 95688-3002 Ph: (707) 447-8982 | Keith Rose, 1286 Callen St, Vacaville, CA 95688-3002 Ph: (707) 447-8982 |
Mrs. Phyllis Ann Dimmick, MASTERS OF ART PSYCH Counselor Medicare: Not Enrolled in Medicare Practice Location: 196 Auburn Way, Vacaville, CA 95688 Phone: 707-447-4668 | |
Savitri D. Harris, RI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1286 Callen St, Vacaville, CA 95688 Phone: 707-447-8982 Fax: 707-447-3205 | |
Ricardo Antonio Navarro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5063 Midway Rd, Vacaville, CA 95688 Phone: 707-678-5614 | |
Ms. Kristina Claudio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1286 Callen St, Vacaville, CA 95688 Phone: 707-447-8982 | |
Ziyya Raeann Scruggs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Alamo Dr Apt 187, Vacaville, CA 95687 Phone: 910-527-9625 | |
Robin Langston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5063 Midway Rd, Vacaville, CA 95688 Phone: 707-678-5614 | |
George W. Mares, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1286 Callen St, Vacaville, CA 95688 Phone: 707-447-8982 Fax: 707-447-3205 |