Individual
MS. MIKA M ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
614 AUTUMNWOOD FOREST DR, LAKE SAINT LOUIS, MO 63367-2633
(314) 368-2958
Mailing address
614 AUTUMNWOOD FOREST DR, LAKE SAINT LOUIS, MO 63367-2633
(314) 368-2958
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006036094
MO
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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