Individual provider · Type 1 NPI

Kennedy Elisabeth Rose, LPC

Professional Counselor · Wytheville, VA

NPI number 1376349571 Active

Practice location

540 W Main St
Wytheville, VA 24382-2209

Mailing address

770 W Ridge Rd
Wytheville, VA 24382-1187

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701014540 (VA)

Professional Counselor: Definition to come...

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About NPI 1376349571

Kennedy Elisabeth Rose, LPC's National Provider Identifier is 1376349571, issued on Feb 20, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wytheville, VA. The record was last updated on Feb 20, 2025.