Individual
MR. LARRY EDWIN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1144 E MCDOWELL RD, SUITE 301, PHOENIX, AZ 85006-2664
(602) 344-5651
(602) 344-5578
Mailing address
PO BOX 5177, PHOENIX, AZ 85010-5177
(602) 344-5651
(602) 344-5578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1753
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
704983
—
AZ
Enumeration date
01/08/2007
Last updated
07/08/2007
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