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Kelly Kristine Rose
Professional Counselor in Wilmington, North Carolina
NPI 1013583459

Kelly Kristine Rose is a Professional Counselor based in Wilmington, NC and is specialized in Professional. Kelly Kristine Rose practices in Wilmington, NC. The NPI Number for Kelly Kristine Rose is 1013583459 and holds a License No. (North Carolina).

The current practice location address for Kelly Kristine Rose is 1619 Grace St, Wilmington, NC and can be reached out via phone at 919-896-0214.

Location: 1619 Grace St, Wilmington, NC, 28401-3800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013583459
Provider Name
Kelly Kristine Rose
Credential
Provider Entity Type
Individual
Gender
Female
Address
1619 Grace St, Wilmington, NC, 28401-3800
Phone Number
919-896-0214
Fax Number
Provider Enumeration Date
05/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1619 Grace St
City
Wilmington
State
North Carolina
Zip
28401-3800
Phone Number
919-896-0214
Fax Number
person
Provider Business Mailing Address Details
Address
1619 Grace St
City
Wilmington
State
North Carolina
Zip
28401-3800
Phone Number
919-896-0214
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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