SearchIllinois101YM0800X

Adam Rose, LCPC, NCC

NPI 1790502045 · on the registry since 2024

Practice

Address
121 Forest View Dr
Columbia, IL 62236
Phone
(314) 722-8720

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois