Individual
MRS. ANNIKA FAITH ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
1101 5TH ST., SUITE 102, CORALVILLE, IA 52241
(319) 321-5707
(866) 468-4419
Mailing address
1101 5TH ST, SUITE 102, CORALVILLE, IA 52241
(319) 321-5707
(866) 468-4419
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
006903
IA
1041C0700X
Clinical Social Worker
Primary
006903
IA
Other
Enumeration date
08/04/2008
Last updated
10/22/2013
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