Individual
RAYLENE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCC, LPC, LCPC, LCMH
Contact information
Practice address
4500 FORT JACKSON BLVD STE 110, COLUMBIA, SC 29209-1134
(803) 386-8375
Mailing address
4500 FORT JACKSON BLVD STE 110, COLUMBIA, SC 29209-1134
(803) 386-8375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
20444
NC
101YM0800X
Mental Health Counselor
9595
SC
101YP2500X
Professional Counselor
Primary
LC15161
MD
Other
Enumeration date
04/05/2022
Last updated
09/24/2025
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