Individual provider · Type 1 NPI
Phyllis Ross, L.I.C.S.W
Mental Health Counselor · Winchester, MA
NPI number
1497849079
Active
Practice location
573 Main Street
Winchester, MA 01890
Fax (781) 721-2113
Mailing address
76 Gordon Road
Waban, MA 02468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 105628 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1497849079
Phyllis Ross, L.I.C.S.W's National Provider Identifier is 1497849079, issued on Oct 3, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winchester, MA. The record was last updated on Jul 8, 2007.