Individual provider · Type 1 NPI
Mark Ross, SAC-IT
Addiction (Substance Use Disorder) Counselor · Milwaukee, WI
NPI number
1205200490
Active
Practice location
5408 N 40th St
Milwaukee, WI 53209-4618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1205200490
Mark Ross, SAC-IT's National Provider Identifier is 1205200490, issued on Nov 25, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Milwaukee, WI. The record was last updated on Nov 25, 2015.