Individual
MR. KYLE WILLIAM ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
7766 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432-2832
(763) 205-4843
(612) 416-2085
Mailing address
7766 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432-2832
(763) 205-4843
(612) 416-2085
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01396
MN
Other
Enumeration date
12/11/2016
Last updated
04/09/2025
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