Individual
MS. SHEIKETHA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
54 E RAMSDELL ST, NEW HAVEN, CT 06515-1140
(203) 781-4600
(203) 781-4624
Mailing address
30 HAZEL TERRACE, SUITE 23, WOODBRIDGE, CT 06525-5991
(203) 819-7650
(203) 298-9487
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2622
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008056047
ROSS MEDICAID
CT
Enumeration date
10/09/2014
Last updated
01/24/2022
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