Individual
JAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
2105 BOGARDE STREET, F-5, DURHAM, NC 27705-6711
(919) 382-8970
Mailing address
2501 BOGARDE ST, F-5, DURHAM, NC 27705-6701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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