Individual
JENNIFER I ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
931 E MAIN STREET, CECILIA, KY 42724-7614
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
271867
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15190256
CAQH
KY
05
—
7100753380
—
KY
Enumeration date
10/17/2019
Last updated
08/02/2024
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