Individual
MRS. AUTUMN DANIEL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
4420 TRIUMPH DR SW, CONCORD, NC 28027-2707
(864) 341-7111
Mailing address
518 PEARL ST APT 1734, CHARLOTTE, NC 28262-3846
(864) 341-7111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A9685
NC
Other
Enumeration date
02/18/2013
Last updated
07/10/2023
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