Individual
MS. JAMIE ANN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., P.D., LMFT
Contact information
Practice address
2 BROOKSITE DR, SUITE 220, SMITHTOWN, NY 11787-3492
(631) 312-7123
Mailing address
2 BROOKSITE DR, SUITE 220, SMITHTOWN, NY 11787-3492
(631) 312-7123
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000789-1
NY
Other
Enumeration date
02/28/2010
Last updated
03/28/2011
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