Rose, Christine L

Rose, Christine L is an sole proprietor health care provider with primary practice located at 8333 Foothill Blvd Suite 202, Rancho Cucamonga CA 91730-3154. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Rose, Christine L can be contacted via phone (909) 579-8205.

Contact Information

Primary practice address
8333 Foothill Blvd Suite 202 Rancho Cucamonga CA 91730-3154
Phone: (909) 579-8205
Fax: (909) 579-8250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 19001 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 19001 California

Profile Details

NPI number 1386624294
LBN Legal business name Rose, Christine L
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Dec 5th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386624294 NPPES
California Other 19001 PROFESSIONAL LICENSE #

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