Individual provider · Type 1 NPI

Kelly Lee Rose, LMFT

Mental Health Counselor · Wayzata, MN

NPI number 1003170143 Active

Practice location

3701 Shoreline Dr Ste 102A, 102A
Wayzata, MN 55391-4000

Call (651) 231-7471 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000X2494 (MN)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

2 other providers at this address

Other mental health counselor providers in Wayzata

See all in Wayzata →

About NPI 1003170143

Kelly Lee Rose, LMFT's National Provider Identifier is 1003170143, issued on Jul 3, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wayzata, MN. The record was last updated on May 30, 2024.