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General NPI Number Information
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NPI Number | 1497807200
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Entity Type | Individual
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Provider Name | YVONNE CHELSIA ROSE-GREEN MS, LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 2000 N DIXIE HWY
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City | LAKE WORTH
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State | FL
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Zip | 33460-6244
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Country | US
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Telephone | 561-684-7000
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Fax | 561-684-4832
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Provider Business Mailing Address
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Address Line | 4180 MEADE WAY
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-7865
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Country | US
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Telephone | 561-684-7000
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Fax | 561-684-4832
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH8248
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 8248
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MH 8248
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License Number State | FL
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