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Individual

ALFRED ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
1041 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2712
(850) 460-8499
Mailing address
1041 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2712
(850) 460-8499

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12254
FL
101YM0800X
Mental Health Counselor
Primary
12254
FL

Other

Enumeration date
10/24/2023
Last updated
10/24/2023
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