Individual
HARLAN L ROSS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC U/S
Contact information
Practice address
1719 S.W. 11TH, LAWTON, OK 73501
(580) 581-1818
(580) 581-1819
Mailing address
112 W. MAIN, PURCELL, OK 73080
(405) 527-1785
(405) 527-1084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
01/07/2011
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