Individual provider · Type 1 NPI

Jennifer Nicole Rose, LPC

Professional Counselor · Kennesaw, GA

NPI number 1710849641 Active

Practice location

4255 Wade Green Rd NW Ste 414
Kennesaw, GA 30144-1763

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC006451 (GA)

Professional Counselor: Definition to come...

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About NPI 1710849641

Jennifer Nicole Rose, LPC's National Provider Identifier is 1710849641, issued on Dec 1, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kennesaw, GA. The record was last updated on Dec 18, 2025.