Individual
CAROLINE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 JACKSON WAY SW, JACKSONVILLE, AL 36265
(256) 239-5662
Mailing address
934 DENNIS ST SW, JACKSONVILLE, AL 36265-3071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2057
AL
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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