Individual
DR. SARA R ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC
Contact information
Practice address
1515 MOCKINGBIRD LN, SUITE 411, CHARLOTTE, NC 28209-3236
(704) 525-1213
(704) 525-1213
Mailing address
3426 GRESHAM PL, CHARLOTTE, NC 28211-3966
(704) 525-1213
(704) 525-1213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
755
NC
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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