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Individual

VIRGINIA ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., NCC, LMHC,LCPC

Contact information

Practice address
27442 S. LACON LANE, HARRISON, ID 83833
(509) 999-7086
Mailing address
27442 S. LACON LANE, HARRISON, ID 83833
(509) 999-7086

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-7897
ID
101YM0800X
Mental Health Counselor
Primary
LH60549703
WA
101YM0800X
Mental Health Counselor
LPC-6102
ID

Other

Enumeration date
05/20/2015
Last updated
02/11/2022
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