Individual
DARY'A DESTINY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 FARMINGDALE DR, CHARLOTTE, NC 28212-5551
(704) 910-5810
Mailing address
400 THREE MILE LOOP APT 433, KANNAPOLIS, NC 28083-0006
(336) 897-6070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A19702
NC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/26/2020
Last updated
02/13/2024
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