Provider Demographics
NPI:1629891775
Name:STOKES, ROSE (MFTC)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19550 E DICKENSON PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-7683
Mailing Address - Country:US
Mailing Address - Phone:720-675-0252
Mailing Address - Fax:
Practice Address - Street 1:338 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:CO
Practice Address - Zip Code:80107-7572
Practice Address - Country:US
Practice Address - Phone:720-675-0252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0001532106H00000X
COMFTC.0014643106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist