Individual provider · Type 1 NPI
Kyle R. Rose, PhD, LPC, NCC
Professional Counselor · Mclean, VA
NPI number
1104452630
Active
Practice location
1360 Beverly Road, Suite 200
Mclean, VA 22101
Mailing address
703 N Market St
Selinsgrove, PA 17870-2007
Other practice locations
- 1005 N Glebe Rd Ste 525, Arlington, VA 22201-5792 · (804) 207-6737
- 313 W Liberty St Ste F, Lancaster, PA 17603-2799 · (717) 921-7004
- 703 N Market St, Selinsgrove, PA 17870-2007 · (717) 921-7004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 0701011286 (VA) |
| Mental Health Counselor | 101YM0800X | PC018564 (PA) |
| Mental Health Counselor | 101YM0800X | 0701011286 (VA) |
| Professional Counselor Primary | 101YP2500X | PC018564 (PA) |
Professional Counselor: Definition to come...
Other professional counselor providers in Mclean
About NPI 1104452630
Kyle R. Rose, PhD, LPC, NCC's National Provider Identifier is 1104452630, issued on Mar 16, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mclean, VA. The record was last updated on Jan 22, 2026.