Individual provider · Type 1 NPI
Sara R. Rose, PhD, LPC
Professional Counselor · Charlotte, NC
NPI number
1619900511
Active
Practice location
1515 Mockingbird Ln, Suite 411
Charlotte, NC 28209-3236
Fax (704) 525-1213
Mailing address
3426 Gresham Pl
Charlotte, NC 28211-3966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 755 (NC) |
Professional Counselor: Definition to come...
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About NPI 1619900511
Sara R. Rose, PhD, LPC's National Provider Identifier is 1619900511, issued on Jul 7, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Charlotte, NC. The record was last updated on Jul 8, 2007.