Individual
JENNIFER HEATHER ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC, LPC
Contact information
Practice address
319 VINE ST, PHILADELPHIA, PA 19106-1122
(215) 284-0162
Mailing address
3605 BERRY AVE, DREXEL HILL, PA 19026-2317
(215) 284-0162
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005268
PA
Other
Enumeration date
10/27/2009
Last updated
10/22/2010
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