Individual
BENJAMIN M. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, CDP
Contact information
Practice address
16715 AURORA AVE N, SHORELINE, WA 98133-5310
(206) 546-9766
Mailing address
16715 AURORA AVE SOUTH, SHORELINE, WA 98133
(206) 546-9766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001549
WA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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