Jamie Rose, LCPC-C, NCC

NPI #1134664287 in South Portland, Maine

Provider Information

NPI Number: 1134664287
Entity Type: Individual
Name: Jamie Rose, LCPC-C, NCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LCPC-C, NCC
Enumeration Date: Dec 28, 2016
Last Updated: Dec 28, 2016

Practice Location

Address: 280B GANNETT DR
City: South Portland
State: Maine
ZIP Code: 04106-6940
Phone: (207) 828-0048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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