Individual provider · Type 1 NPI
Lydia Rose, MPS, LADC
Addiction (Substance Use Disorder) Counselor · Rockford, MN
NPI number
1801685706
Active
Practice location
PO Box 73
Rockford, MN 55373-0073
Mailing address
4404 Nicollet Ave Apt 1
Minneapolis, MN 55419-2642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 306922 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Rockford
About NPI 1801685706
Lydia Rose, MPS, LADC's National Provider Identifier is 1801685706, issued on May 6, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rockford, MN. The record was last updated on May 6, 2025.