Individual
HERBERT STEPHEN ROSS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Mailing address
1281 SPRINGBROOK DR, MANSFIELD, OH 44906-3542
(419) 512-8253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.163388
OH
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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