Individual
YULONDA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LADAC, ICADC
Contact information
Practice address
10515 W MARKHAM ST STE K5, LITTLE ROCK, AR 72205-2287
(501) 613-6542
Mailing address
10515 W MARKHAM ST STE K5, LITTLE ROCK, AR 72205-2287
(501) 613-6542
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1411-CADC
AR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
418L
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116378726
—
AR
Enumeration date
12/13/2012
Last updated
02/02/2021
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