Rose, Charles Frederick

Rose, Charles Frederick is an individual health care provider with primary practice located at 8333 Foothill Blvd Suite 202, Rancho Cucamonga CA 91730-3154. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Rose, Charles Frederick 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 / Mental Health 101YM0800X 22451 California

Profile Details

NPI number 1467432856
LBN Legal business name Rose, Charles Frederick
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1467432856 NPPES
California Other 22451 PROFESSIONAL LICENSE

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