# JAMIE ROSS, LICENSED MARRIAGE AND FAMILY THERAPIST, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003563131
- **Authorized official:** MRS. JAMIE ANN ROSS LMFT (OWNER, LMFT)
- **Authorized official phone:** (631) 312-7123

## Contact information

- **Practice address:** 220 LAKE AVE STE 1, SAINT JAMES, NY 11780-2979
- **Practice address phone:** (631) 312-7123
- **Practice address fax:** (631) 265-0757
- **Mailing address:** 220 LAKE AVE STE 1, SAINT JAMES, NY 11780-2979
- **Mailing address phone:** (631) 312-7123
- **Mailing address fax:** (631) 265-0757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2022
- **Last updated:** 03/08/2022
