Individual
KRISTEN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21366 HALL RD, PMB 6002, CLINTON TOWNSHIP, MI 48038
(586) 244-8087
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401013390
MI
101YM0800X
Mental Health Counselor
6401013390
MI
101YP2500X
Professional Counselor
Primary
6401013390
MI
Other
Enumeration date
05/15/2019
Last updated
02/08/2024
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