Individual
MS. KC ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
260 KAMEHAMEHA AVE. #215, HILO, HI 96720
(808) 964-3000
(808) 964-3000
Mailing address
PO BOX 603, PAPAIKOU, HI 96781
(808) 964-3000
(808) 964-3000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MFT-16
HI
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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