Individual
ERIKA STACEY ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 WESTWOOD AVE, WATERBURY, CT 06708-2460
(203) 336-6885
Mailing address
75 WEST ST, DANBURY, CT 06810-6528
(203) 336-6885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
128582102
CT
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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