person
Ms. Lisa A Rose, LPC
Professional Counselor in Kennett, Missouri
NPI 1710163365

Lisa A Rose is a Professional Counselor based in Poplar Bluff, MO and is specialized in Professional. Lisa A Rose practices in Kennett, MO and has the professional credentials of LPC. The NPI Number for Lisa A Rose is 1710163365 and holds a License No. 2006038844 (Missouri).

The current practice location address for Lisa A Rose is 925 Highway V V, Kennett, MO and can be reached out via phone at 573-888-5925 and via fax at 573-888-9365. You can also correspond with Lisa A Rose through the mailing address at 3001 WARRIOR LN, POPLAR BLUFF, MO - 63901-8685 (mailing address contact number: 573-686-1200).

Location: 925 Highway V V, Kennett, MO, 63901-8685
person
Provider Profile Details
NPI Number
1710163365
Provider Name
Lisa A Rose
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
925 Highway V V, Kennett, MO, 63901-8685
Phone Number
573-888-5925
Fax Number
573-888-9365
Provider Enumeration Date
01/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1710163365 05 MO
17101063365 05 MO
institution
Provider Business Practice Location Address Details
Address
925 Highway V V
City
State
Zip
63857-7707
Phone Number
573-888-5925
Fax Number
573-888-9365
person
Provider Business Mailing Address Details
Address
3001 Warrior Ln
City
State
Zip
63901-8685
Phone Number
573-686-1200
Fax Number
573-686-1029
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2006038844 (Missouri)
Definition
Definition to come...
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