Individual
MS. NICOLE RENEE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LPC, LCAS
Contact information
Practice address
11448 US HWY 70 WEST BUSINESS SUITE E, CLAYTON, NC 27520
(919) 437-1068
Mailing address
174 OPAL LN, CLAYTON, NC 27520-3818
(919) 437-1068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A9177
NC
Other
Enumeration date
01/12/2012
Last updated
11/30/2016
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