Individual
KATHLEEN M ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-4360
Mailing address
300 CROOKS ST, GREEN BAY, WI 54301-4527
(920) 436-4360
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3898-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43724700
—
WI
Enumeration date
09/21/2007
Last updated
02/03/2009
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