Individual
BRUCE O ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., L.P.C.
Contact information
Practice address
ST. JOSEPH'S CHILDREN'S HOME, 1419 MAIN ST, TORRINGTON, WY 82240
(307) 532-4197
(307) 532-4197
Mailing address
ST. JOSEPH'S CHILDRE'S HOME, P.O. BOX 1117, TORRINGTON, WY 82240
(307) 532-4197
(307) 532-8405
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-087
WY
101YP2500X
Professional Counselor
LPC-087
WY
Other
Enumeration date
04/01/2009
Last updated
05/24/2012
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