Individual
MR. JOHNNIE ROSS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3123
Mailing address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1693-M
AR
1041C0700X
Clinical Social Worker
Primary
2457-C
AR
Other
Enumeration date
08/20/2006
Last updated
11/12/2015
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