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Search › Virginia › 1041C0700X

Brandon Rose, LCSW

NPI 1700391604 · on the registry since 2017 · sole proprietor

Practice

Address
5673 Airport Rd
Roanoke, VA 24012
Phone
(540) 344-7700
Organisation at this address
Iyh I Llc
Mark Bogert
Intercept Youth Services, Inc
Intercept Youth Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Additional practice sites

  • 1160 Overland Rd Sw, Roanoke, VA
  • 2102 Grandin Rd Sw, Roanoke, VA

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia