Individual
MR. BENJAMIN C. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2320 WRIGHTSBORO RD, AUGUSTA, GA 30904-6233
(706) 750-2809
(706) 524-7038
Mailing address
2320 WRIGHTSBORO RD, AUGUSTA, GA 30904-6233
(706) 750-2809
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740797489
—
GA
Enumeration date
11/29/2021
Last updated
11/29/2021
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