| Rose Counseling Services | |
|
1716 E 30th Ave Suite B Hutchinson KS 67502-1230 | |
| (888) 406-5778 | |
| Not Available |
| Full Name | Rose Counseling Services |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/26/2016 |
| Last Update Date | 06/26/2016 |
| Medicare PECOS PAC ID | 8628364445 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629317268 PECOS PAC ID: 4880817097 Enrollment ID: I20140515001106 |
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