Individual
BRIAN THOMAS ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
8401 WAYZATA BLVD, SUITE 370, GOLDEN VALLEY, MN 55426-1343
(763) 544-1006
Mailing address
4000 FORDHAM DR NE, MINNEAPOLIS, MN 55421-4335
(612) 782-9014
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1388
MN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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