Organization
JULIE ROSS, LCSW, LMHP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE DIANE ROSS LCSW, LMHP (LICENSED CLINICAL SOCIAL WORKER)
(402) 727-1681
Entity
Organization
Contact information
Practice address
1627 E MILITARY AVE STE 200, FREMONT, NE 68025-5490
(402) 727-4886
(402) 727-4146
Mailing address
1738 PARKVIEW DR, FREMONT, NE 68025-4484
(402) 727-1681
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
918
NE
261QM0855X
Adolescent and Children Mental Health Clinic/Center
918
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50778753927
—
NE
Enumeration date
09/28/2017
Last updated
11/07/2017
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