| Doctor Name: | ROSE LAROSA |
| NPI Number: | 1205207123 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, PC, NBCC |
| License Number: | C.8235 |
| Business Practice Address: | 133 Bass Dr Weirton, WV - 260622705 |
| Business Phone Number: | 3049147737 |
| Business Fax Number: | |
| Mailing Address: | 133 Bass Dr, WEIRTON |
| State: | WV |
| Postal Code: | 260622705 |
| Phone Number: | 3049147737 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2015 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C.8235 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |