Individual
DR. CANDACE W ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
900 PEELER ST, KALAMAZOO, MI 49008-2300
(269) 501-8537
Mailing address
4179 LAKE TERRACE DR, KALAMAZOO, MI 49008-2511
(269) 501-8537
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401007436
MI
103TC1900X
Counseling Psychologist
Primary
6301015853
MI
Other
Enumeration date
04/24/2012
Last updated
11/19/2020
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