NPI 1003170143

Kelly Lee Rose, LMFT

Practitioner Mental Health Counselor Wayzata, MN

Practice location

Address: 3701 Shoreline Dr STE 102a 102a, Wayzata, MN 55391-4000
Phone: (651) 231-7471

Registered specialties (2)

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Minnesota →

Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 2494 (MN)

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Registry record

NPI: 1003170143
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2012
Record last updated: 30 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.