Provider Demographics
NPI:1437430394
Name:YARBOROUGH, ROSE ANN (MA)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:ANN
Last Name:YARBOROUGH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:ANN
Other - Last Name:MOREDOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:185 WOOSTER RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-2354
Mailing Address - Country:US
Mailing Address - Phone:910-585-9074
Mailing Address - Fax:
Practice Address - Street 1:185 WOOSTER RD
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-2354
Practice Address - Country:US
Practice Address - Phone:910-585-9074
Practice Address - Fax:910-216-2504
Is Sole Proprietor?:No
Enumeration Date:2011-09-06
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8714101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional