Individual provider · Type 1 NPI
Judson Braxton Rose
Mental Health Counselor · Lexington, MA
NPI number
1679429443
Active
Practice location
125 Hartwell Ave
Lexington, MA 02421-3100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1679429443
Judson Braxton Rose's National Provider Identifier is 1679429443, issued on Mar 5, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, MA. The record was last updated on Mar 5, 2026.