National Provider Identifier
Jeanine Sue Rose, LMHC
Jeanine Sue Rose, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Cuba, NY and a listed phone number of (716) 307-7488.
Profile Overview
- NPI
- 1801462874
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- June 01, 2021
- Last Updated
- January 11, 2022
Practice Location
- 82 S Shore RD
- Cuba, NY 14727-9732
Phone: (716) 307-7488
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1801462874
- Entity Type
- Individual
- Last Name
- Rose
- First Name
- Jeanine
- Middle Name
- Sue
- Credential
- LMHC
- Mailing Street Address
- 82 S Shore RD
- Mailing City
- Cuba
- Mailing State
- NY
- Mailing ZIP Code
- 14727-9732
- Mailing Country
- US
- Mailing Phone
- (716) 307-7488
- Practice Street Address
- 82 S Shore RD
- Practice City
- Cuba
- Practice State
- NY
- Practice ZIP Code
- 14727-9732
- Practice Country
- US
- Practice Phone
- (716) 307-7488
- Enumeration Date
- June 01, 2021
- Last Updated
- January 11, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)