Individual
KAREN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
405 W MAIN ST, GAYLORD, MI 49735-1859
(989) 732-6448
Mailing address
PO BOX 398, GAYLORD, MI 49734-0398
(989) 732-6448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3802085416
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3802085416
STATE OF MICHIGAN LICENSE
MI
Enumeration date
11/06/2017
Last updated
11/06/2017
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