Individual provider · Type 1 NPI

Lisa A. Rose, LPC

Professional Counselor · Kennett, MO

NPI number 1710163365 Active

Practice location

925 Highway V V
Kennett, MO 63857-7707

Call (573) 888-5925 Map

Fax (573) 888-9365

Mailing address

3001 Warrior Ln
Poplar Bluff, MO 63901-8685

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2006038844 (MO)

Professional Counselor: Definition to come...

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About NPI 1710163365

Lisa A. Rose, LPC's National Provider Identifier is 1710163365, issued on Jan 14, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kennett, MO. The record was last updated on Aug 6, 2013.