Individual
MRS. SHARON ELAINE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3745 RAINEY RD, JACKSON, MS 39212-4643
(601) 291-4478
Mailing address
3745 RAINEY RD, JACKSON, MS 39212-4643
(601) 291-4478
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2159
MS
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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