NPI 1114304011

Caroline Ross

Practitioner Professional Counselor Jacksonville, AL

Practice location

Address: 1215 Jackson Way SW, Jacksonville, AL 36265
Phone: (256) 239-5662
Mailing address: 934 Dennis St SW, Jacksonville, AL 36265-3071

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2057 (AL)

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Registry record

NPI: 1114304011
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2015
Record last updated: 29 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.