Individual
DANASIA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1048 BOWDENS RD, KENANSVILLE, NC 28349-8914
(910) 296-9830
Mailing address
1048 BOWDENS RD, KENANSVILLE, NC 28349-8914
(910) 296-9830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
101YM0800X
Mental Health Counselor
—
NC
171M00000X
Case Manager/Care Coordinator
—
NC
175T00000X
Peer Specialist
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-1609760
—
NC
Enumeration date
07/02/2020
Last updated
07/02/2020
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