Individual provider · Type 1 NPI

Mary Martha Ross, B.A.

Addiction (Substance Use Disorder) Counselor · Mcalester, OK

NPI number 1356554869 Active

Practice location

628 E Creek Ave
Mcalester, OK 74501-6930

Fax (918) 423-2370

Mailing address

PO Box 326
Krebs, OK 74554-0326

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1356554869

Mary Martha Ross, B.A.'s National Provider Identifier is 1356554869, issued on May 8, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mcalester, OK. The record was last updated on Jul 8, 2007.