Female

Svetlana N. Rose

Mental Health Counselor in Tallahassee, FL(View on Map)

Full Name

Svetlana Nikolayevna Rose

NPI Number

1639624828

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/17/2016

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Florida
Florida

License Number

MH17051
IMH14641

Contact
Information

Purpose

Mailing
Location

Address

1296 FERN HILL CT
1713 MAHAN DR

City

Tallahassee
Tallahassee

State

FL
FL

Postal Code

32312-3944
32308-1218

Country

US
US

Telephone Number

(850) 284-4093
(850) 681-6001

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/22/2019

Provider Address

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