Organization · Type 2 NPI

Jim Rose, Lcpc, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Frederick, MD

NPI number 1477293371 Active

Practice location

1 W Church St
Frederick, MD 21701-5991

Mailing address

31 W Patrick St Apt 401
Frederick, MD 21701-5563

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1477293371

Jim Rose, Lcpc, LLC's National Provider Identifier is 1477293371, issued on Mar 30, 2022. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Frederick, MD. The record was last updated on Mar 30, 2022.