Provider Demographics
NPI:1669606901
Name:ROMERO, ROSE (LCPC & LCMHC)
Entity type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:
Last Name:ROMERO
Suffix:
Gender:F
Credentials:LCPC & LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1557 COPPER CREEK RD
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906
Mailing Address - Country:US
Mailing Address - Phone:630-201-2694
Mailing Address - Fax:
Practice Address - Street 1:1557 COPPER CREEK RD
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906
Practice Address - Country:US
Practice Address - Phone:630-201-2694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.005343101YM0800X
IL180.007389101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health