Individual
ADRIANE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 W 79TH ST, SHREVEPORT, LA 71106-4820
(318) 688-8190
(318) 688-8193
Mailing address
333 E 77TH ST, SUITE 230, SHREVEPORT, LA 71106-4917
(318) 780-2212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
10/05/2016
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