| Rose S Jerome | |
|
1126 Schaub Dr Bldg 1000 Raleigh NC 27606-1806 | |
| (919) 438-1061 | |
| (984) 307-0111 |
| Full Name | Rose S Jerome |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1126 Schaub Dr Bldg 1000, Raleigh, North Carolina |
| Authorized Official Name and Position | Rose S Jerome (OWNER/PROVIDER) |
| Authorized Official Contact | 9194381061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose S Jerome 514 Daniels Street Po Box 143 Raleigh NC 27605 Ph: (919) 438-1061 | Rose S Jerome 1126 Schaub Dr Bldg 1000 Raleigh NC 27606-1806 Ph: (919) 438-1061 |
| NPI Number | 1982487609 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/23/2023 |
| Certification Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982487609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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