Individual
LISA H. ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
330 S MIDDLETON DR NW UNIT 1302, CALABASH, NC 28467-5518
(757) 621-3139
Mailing address
330 S MIDDLETON DR NW UNIT 1302, CALABASH, NC 28467-5518
(757) 621-3139
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11753
NC
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701012122
STATE
VA
01
—
93719
STATE
TX
Enumeration date
08/09/2015
Last updated
06/20/2024
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