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Kyle R Rose, LPC,NCC
Mental Health Counselor in Mclean, Virginia
NPI 1104452630

Kyle R Rose is a Mental Health Counselor based in Mclean, VA and is specialized in Mental Health. Kyle R Rose practices in Mclean, VA and has the professional credentials of LPC,NCC. The NPI Number for Kyle R Rose is 1104452630 and holds a License No. 0701011286 (Virginia).

The current practice location address for Kyle R Rose is 1360 Beverly Road, Suite 200, Mclean, VA and can be reached out via phone at 703-831-8300.

Location: 1360 Beverly Road, Suite 200, Mclean, VA, 22101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104452630
Provider Name
Kyle R Rose
Credential
LPC,NCC
Provider Entity Type
Individual
Gender
Male
Address
1360 Beverly Road, Suite 200, Mclean, VA, 22101
Phone Number
703-831-8300
Fax Number
Provider Enumeration Date
03/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30017639620001 05 VA
institution
Provider Business Practice Location Address Details
Address
1360 Beverly Road, Suite 200
City
Mclean
State
Virginia
Zip
22101
Phone Number
703-831-8300
Fax Number
person
Provider Business Mailing Address Details
Address
1360 Beverly Road, Suite 200
City
Mclean
State
Virginia
Zip
22101
Phone Number
703-831-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701011286 (Virginia)
Definition
Definition to come...
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