Individual
ABIGAIL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
200 E STATE ST FL 3, ALLIANCE, OH 44601-4936
(330) 455-0374
(330) 453-6716
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.169728
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.169728
CHEMICAL DEPENDENCY BOARD
OH
Enumeration date
06/19/2019
Last updated
06/19/2019
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