Individual
MS. KATHLEEN R ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
308 MISSION DRIVE, ST. IGNATIUS, MT 59865
(406) 745-3525
(406) 745-4409
Mailing address
P.O. BOX 880, ST. IGNATIUS, MT 59865
(406) 745-3525
(406) 745-4409
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC-LAC-LIC-2594
MT
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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