Individual provider · Type 1 NPI

Justin Ross, LPC

Professional Counselor · Nampa, ID

NPI number 1053785725 Active

Practice location

4144 E Amity Ave
Nampa, ID 83687-8802

Mailing address

2181 W Astonte St
Meridian, ID 83646-7693

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-5495 (ID)

Professional Counselor: Definition to come...

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About NPI 1053785725

Justin Ross, LPC's National Provider Identifier is 1053785725, issued on Nov 18, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nampa, ID. The record was last updated on Nov 18, 2015.