Individual provider · Type 1 NPI
Jeremy Ross, LPC, CSAC
Professional Counselor · Hampton, VA
NPI number
1265803589
Active
Practice location
58 Beach Rd
Hampton, VA 23664-1834
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710102912 (VA) |
| Professional Counselor Primary | 101YP2500X | 0701006303 (VA) |
Professional Counselor: Definition to come...
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About NPI 1265803589
Jeremy Ross, LPC, CSAC's National Provider Identifier is 1265803589, issued on Oct 13, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hampton, VA. The record was last updated on Oct 13, 2015.