Individual
MS. NIA MARLETTA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
219 LEPHILLIP COURT NE, CONCORD, NC 28025-2900
(704) 721-5551
Mailing address
219 LEPHILLIP COURT NE, CONCORD, NC 28025-2900
(704) 721-5551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH10662
FL
101YP2500X
Professional Counselor
Primary
14179
NC
Other
Enumeration date
03/03/2011
Last updated
05/14/2021
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