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Individual

MR. JOHN CHARLES ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PCC, LISW, LICDC

Contact information

Practice address
104 SPINK ST, WOOSTER, OH 44691-3652
(330) 264-8498
(330) 264-3777
Mailing address
104 SPINK ST, WOOSTER, OH 44691-3652
(330) 264-8498
(330) 264-3777

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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