Individual provider · Type 1 NPI

Kathleen R. Ross, LAC

Addiction (Substance Use Disorder) Counselor · St. Ignatius, MT

NPI number 1508115205 Active

Practice location

308 Mission Drive
St. Ignatius, MT 59865

Fax (406) 745-4409

Mailing address

P.o. Box 880
St. Ignatius, MT 59865

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLAC-LAC-LIC-2594 (MT)

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

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About NPI 1508115205

Kathleen R. Ross, LAC's National Provider Identifier is 1508115205, issued on Sep 10, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Ignatius, MT. The record was last updated on Sep 10, 2012.