Individual
MRS. LISA CHONG ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2680 SNELLING AVE N STE 200, ROSEVILLE, MN 55113-1879
(651) 364-9381
(651) 364-9382
Mailing address
2680 SNELLING AVE N STE 200, ROSEVILLE, MN 55113-1879
(651) 364-9381
(651) 364-9382
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2851
MN
Other
Enumeration date
01/26/2016
Last updated
06/14/2021
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