Individual
MRS. KATHLEEN D ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
8 W MAIN ST STE 2-9, NIANTIC, CT 06357-2331
(860) 378-4996
Mailing address
8 W MAIN ST STE 2-9, NIANTIC, CT 06357-2331
(860) 378-4996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001167
CT
Other
Enumeration date
02/20/2007
Last updated
07/16/2024
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