Individual
MICHELLE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 E WARM SPRINGS AVE, BOISE, ID 83712-6420
(208) 343-7797
(208) 343-0064
Mailing address
905 N WOLFSBURG AVE, MERIDIAN, ID 83642-4990
(541) 510-5118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9411
ID
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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