Organization
IMAN J. ROSS, PHD, LPC, P.C.
Active
Other names
Ross Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMAN J ROSS PHD (PRESIDENT/FOUNDER)
(469) 236-3999
Entity
Organization
Contact information
Practice address
1106 SANTA FE TRL, SUITE 2, DUNCANVILLE, TX 75137-3063
(469) 236-3999
(469) 293-4144
Mailing address
1106 SANTA FE TRL, SUITE 2, DUNCANVILLE, TX 75137-3063
(469) 236-3999
(469) 293-4144
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
99184
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
6742
TX
101YM0800X
Mental Health Counselor
Primary
18030
TX
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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