Provider Demographics
NPI:1760568521
Name:GEE, ROSE (LICENSED MARRIAGE AN)
Entity Type:Individual
Prefix:MS
First Name:ROSE
Middle Name:
Last Name:GEE
Suffix:
Gender:F
Credentials:LICENSED MARRIAGE AN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 DWIGHT RD #200 ELK GROVE CA 95758
Mailing Address - Street 2:SUITE # 200
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-6239
Mailing Address - Country:US
Mailing Address - Phone:916-763-1909
Mailing Address - Fax:916-971-3019
Practice Address - Street 1:3125 DWIGHT RD
Practice Address - Street 2:SUITE # 200
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-6239
Practice Address - Country:US
Practice Address - Phone:916-763-1909
Practice Address - Fax:916-971-3019
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24913106H00000X
CA217907163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered163W00000XNursing Service ProvidersRegistered Nurse