Individual provider · Type 1 NPI

Jamie Rose, LCPC-C, NCC

Mental Health Counselor · South Portland, ME

NPI number 1134664287 Active

Practice location

280B Gannett Dr
South Portland, ME 04106-6940

Mailing address

112 Summit Ter Apt 70
South Portland, ME 04106-2272

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XXL4831 (ME)

Mental Health Counselor: Definition to come...

8 other providers at this address

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About NPI 1134664287

Jamie Rose, LCPC-C, NCC's National Provider Identifier is 1134664287, issued on Dec 28, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Portland, ME. The record was last updated on Dec 28, 2016.