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NPI Code Detail

MEDICARE: ROSS COUNSELING CENTER, LLC

MEDICARE: ROSS COUNSELING CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor3064AL

General Provider Information

NPI Number : 1235665514
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSS COUNSELING CENTER, LLC
Provider Business Mailing Address
First Line : 166 N GAY ST
Second Line : SUITE #16
City : AUBURN
State : AL
Zip : 36830-4800
Country : US
Telephone Number : 706-662-5704
Fax Number :
Provider Business Practice Location Address
First Line : 166 N GAY ST
Second Line : SUITE #16
City : AUBURN
State : AL
Zip : 36830-4800
Country : US
Telephone Number : 706-662-5704
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LAWRENCE CHRISTOPHER ROSS
Credential : LPC
Telephone Number : 706-662-5704
Provider Enumeration Date : 05/05/2017
Last Update Date : 05/05/2017

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