Individual
JONATHON M. DU ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIMFT
Contact information
Practice address
3500 CARNEGIE AVE, CLEVELAND, OH 44115
(440) 260-8300
(440) 260-8575
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
78017
CA
106H00000X
Marriage & Family Therapist
Primary
F.1800052
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124100383
—
CA
Enumeration date
07/10/2013
Last updated
08/14/2018
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