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NPI Code Detail

MEDICARE: MS. MONICA A ROSS LPC

MEDICARE: MS. MONICA A ROSS LPC
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 Counselor73040TX
2101YP2500XProfessional Counselor10792CA

General Provider Information

NPI Number : 1265972806
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONICA A ROSS LPC
Provider Business Mailing Address
First Line : 5473 BLAIR RD STE 100 #395011
Second Line :
City : DALLAS
State : TX
Zip : 75231-4227
Country : US
Telephone Number : 918-934-6830
Fax Number :
Provider Business Practice Location Address
First Line : 5473 BLAIR RD STE 100 #395011
Second Line :
City : DALLAS
State : TX
Zip : 75231-4227
Country : US
Telephone Number : 918-934-6830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2017
Last Update Date : 01/07/2025

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