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Individual

JESSICA LEEANN ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R1489191122

Contact information

Practice address
650 HOWE AVE, SACRAMENTO, CA 95825-4731
(916) 919-4519
Mailing address
650 HOWE AVE STE 400, SACRAMENTO, CA 95825-4732
(916) 919-4519

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1489191122
CA
372600000X
Adult Companion
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101YA0400X
ADS COUNSELOR
CA
Enumeration date
11/29/2022
Last updated
09/03/2025
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