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Individual

KERRIE ROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, LMFT

Contact information

Practice address
632 HOLLY AVE STE 8, WINSTON SALEM, NC 27101-2716
(512) 355-1091
Mailing address
632 HOLLY AVE STE 8, WINSTON SALEM, NC 27101-2716
(512) 355-1091

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
TPMC2976
FL
101YP2500X
Professional Counselor
87503
TX
101YP2500X
Professional Counselor
LPC-6741
ID
106H00000X
Marriage & Family Therapist
Primary
204231
TX
106H00000X
Marriage & Family Therapist
21126
NC

Other

Enumeration date
11/13/2021
Last updated
05/14/2026
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