Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY LEE ROSE, LMFT
Active Sole ProprietorKELLY LEE ROSE, LMFT is a Mental Health Counselor healthcare provider located in WAYZATA, Minnesota. NPI 1003170143 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · WAYZATA, MN
Registration Details
- NPI Number
- 1003170143
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 3, 2012 (14.08058587113 yrs)
- Last Updated
- May 30, 2024
- License
-
2494 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3701 SHORELINE DR STE 102A102AWAYZATA, MN, 553914000Browse MN providers · Browse ZIP 55391
- Phone
- 6512317471
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in WAYZATA, MN
| Name | Credential | NPI |
|---|---|---|
| MR. DEAN S. GRAUDS | M.A. | 1780716977 |
| TASIA CLOUTIER | LPCC | 1639594575 |
| MELISSA FJELSTAD | LADC, LPCC | 1245883073 |
| PATRICIA FITZGIBBONS ANDERSON | MA, LMFT | 1336782374 |
| DENA SAGE | MSW. LICSW | 1922605823 |
| DEVAN KRISTINE RUBIO | LPCC | 1013632363 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.