Individual provider · Type 1 NPI
Nicole Renee Rose, M.A. LPC, LCAS
Professional Counselor · Clayton, NC
NPI number
1043580657
Active
Practice location
11448 US Hwy 70 West Business Suite E
Clayton, NC 27520
Mailing address
174 Opal Ln
Clayton, NC 27520-3818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | A9177 (NC) |
Professional Counselor: Definition to come...
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About NPI 1043580657
Nicole Renee Rose, M.A. LPC, LCAS's National Provider Identifier is 1043580657, issued on Jan 12, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Clayton, NC. The record was last updated on Nov 30, 2016.