Charlene Rose in Modesto - Marriage & Family Therapist
Charlene Rose - NPI 1962521047
Charlene Rose is a Marriage & Family Therapist in Modesto, California. Charlene Rose practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Charlene Rose is 1962521047. The last update date is 2022-02-04.
Charlene Rose's current location address is 426 14th St Ste 110, Modesto, California. You can contact this provider via phone number 2094808496 and fax number 2093433985. The mailing address for Charlene Rose is 426 14th St Ste 110, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlene Rose |
|---|---|
| Address | 426 14th St Ste 110, Modesto, California |
| Phone Number | 2094808496 |
| Fax Number | 2093433985 |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1962521047 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2022-02-04 |
Provider Mailing Address Detail
| Address | 426 14th St Ste 110 |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953542661 |
| Phone Number | 2094808496 |
| Fax Number | 2093433985 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 45144 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Charlene Rose?
The Charlene Rose has been issued the NPI (National Provider Identifier) 1962521047 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Charlene Rose is physically located?
The Charlene Rose is physically situated at the following address: 426 14Th St Ste 110, Modesto, CA, 953542661.
What is the area of specialization for Charlene Rose, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charlene Rose is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 106H00000X.
On what date did the Charlene Rose receive its 1962521047 assignment from the Centers for Medicare & Medicaid Services?
The Charlene Rose was assigned its 1962521047 by the Centers for Medicare & Medicaid Services on 2007-03-28.
As of what date was the information regarding Charlene Rose, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charlene Rose, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-02-04.