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

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X755 (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.