Individual
RUTH LAUREN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1118 F ST, LEWISTON, ID 83501-1930
(208) 799-4440
Mailing address
PO BOX 174, LEWISTON, ID 83501-0174
(208) 791-5553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-6278
ID
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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