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NPI Code Detail

MEDICARE: SHERINA NASHA ROSS

MEDICARE: SHERINA NASHA ROSS
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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3101YM0800XMental Health CounselorCG60486467WA

General Provider Information

NPI Number : 1346656485
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERINA NASHA ROSS
Provider Business Mailing Address
First Line : 3285 FERGUSON ST SW
Second Line :
City : TUMWATER
State : WA
Zip : 98512-6143
Country : US
Telephone Number : 360-943-1907
Fax Number :
Provider Business Practice Location Address
First Line : 3285 FERGUSON ST SW
Second Line :
City : TUMWATER
State : WA
Zip : 98512-6143
Country : US
Telephone Number : 360-943-1907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2014
Last Update Date : 07/14/2025

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Directions to “ SHERINA NASHA ROSS ” Practice Location

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