Individual provider · Type 1 NPI

Wallace Ross

Mental Health Counselor · Westampton, NJ

NPI number 1013486539 Active

Practice location

770 Woodlane Rd
Westampton, NJ 08060-3804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1013486539

Wallace Ross's National Provider Identifier is 1013486539, issued on Nov 14, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westampton, NJ. The record was last updated on Nov 14, 2018.