Individual
KELLY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC 9953
Contact information
Practice address
41680 IVY ST STE D, MURRIETA, CA 92562-9435
(619) 549-0329
Mailing address
26417 LARKSPUR ST, HEMET, CA 92544-6410
(951) 491-1797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9953
CA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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