Individual
MS. DARLENE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MS AND (CSAC) 14
Contact information
Practice address
5103 N 58TH ST, MILWAUKEE, WI 53218-4251
(414) 810-3706
(414) 810-3702
Mailing address
5103 N 58TH ST, MILWAUKEE, WI 53218-4251
(414) 364-7695
(414) 810-3706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41161300
—
WI
Enumeration date
04/28/2008
Last updated
03/29/2016
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