| Rose Counseling Pllc | |
|
1605 E Capitol Ave Ste 100 Bismarck ND 58501-2102 | |
| (701) 404-0997 | |
| (701) 566-8876 |
| Full Name | Rose Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1605 E Capitol Ave Ste 100, Bismarck, North Dakota |
| Authorized Official Name and Position | Katie R Krueger (OWNER/LCSW) |
| Authorized Official Contact | 7018180265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Counseling Pllc 1605 E Capitol Ave Ste 100 Bismarck ND 58501-2102 Ph: (701) 404-0997 | Rose Counseling Pllc 1605 E Capitol Ave Ste 100 Bismarck ND 58501-2102 Ph: (701) 404-0997 |
| NPI Number | 1447980131 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Medicare PECOS PAC ID | 4486036555 |
|---|---|
| Medicare Enrollment ID | O20220805001580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447980131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Katie Rose Krueger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043659709 PECOS PAC ID: 8921480096 Enrollment ID: I20220805001745 |
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