Individual provider · Type 1 NPI

Kelly Patrick Rose

Mental Health Counselor · Boulder, CO

NPI number 1104044890 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Mailing address

960 Laramie Blvd Unit H
Boulder, CO 80304-4782

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104044890

Kelly Patrick Rose's National Provider Identifier is 1104044890, issued on Apr 20, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Jul 8, 2007.