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NPI Code Detail

MEDICARE: MS. ROZLYN REEVES ROSS LLPC

MEDICARE:  MS. ROZLYN REEVES ROSS  LLPC
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
1101YM0800XMental Health Counselor6401011623MI

General Provider Information

NPI Number : 1841513587
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROZLYN REEVES ROSS LLPC
Provider Business Mailing Address
First Line : 100 W MAIN ST
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-3606
Country : US
Telephone Number : 616-456-1443
Fax Number : 616-732-6392
Provider Business Practice Location Address
First Line : 100 W MAIN ST
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-3606
Country : US
Telephone Number : 616-456-1443
Fax Number : 616-732-6392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2010
Last Update Date : 03/09/2010

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Directions to “ MS. ROZLYN REEVES ROSS LLPC” Practice Location

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