Individual provider · Type 1 NPI

Kelly Kristine Rose, LCMHC

Professional Counselor · Wilmington, NC

NPI number 1013583459 Active

Practice location

202 S 5th Ave
Wilmington, NC 28401-5494

Call (919) 896-0214 Map

Fax (866) 404-5107

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X16725 (NC)

Professional Counselor: Definition to come...

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About NPI 1013583459

Kelly Kristine Rose, LCMHC's National Provider Identifier is 1013583459, issued on May 27, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wilmington, NC. The record was last updated on Oct 27, 2026.