Individual
MR. JOHN CHARLES ROSS
Active
Individual
MR. JOHN CHARLES ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCC, LISW, LICDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
872299
OH
101YM0800X
Mental Health Counselor
E1379
OH
1041C0700X
Clinical Social Worker
Primary
I3225
OH
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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