Rose Counseling Services | |
1716 E 30th Ave Suite B Hutchinson KS 67502-1230 | |
(888) 406-5778 | |
Not Available |
Full Name | Rose Counseling Services |
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Speciality | Social Worker |
Location | 1716 E 30th Ave, Hutchinson, Kansas |
Authorized Official Name and Position | Alicia Rose (OWNER, THERAPIST) |
Authorized Official Contact | 6206648391 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rose Counseling Services 1716 E 30th Ave Suite B Hutchinson KS 67502-1230 Ph: (888) 406-5778 | Rose Counseling Services 1716 E 30th Ave Suite B Hutchinson KS 67502-1230 Ph: (888) 406-5778 |
NPI Number | 1326499815 |
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Provider Enumeration Date | 06/26/2016 |
Last Update Date | 06/26/2016 |
Medicare PECOS PAC ID | 8628364445 |
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Medicare Enrollment ID | O20160902001829 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326499815 | NPI | - | NPPES |
200974940A | Medicaid | KS | |
006909029 | Other | KS | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4317 (Kansas) | Primary |
Provider Name | Alicia M Rose |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629317268 PECOS PAC ID: 4880817097 Enrollment ID: I20140515001106 |
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