Individual provider · Type 1 NPI
Mika M. Ross, M.ED.
Professional Counselor · Lake St. Louis, MO
NPI number
1609171248
Active
Practice location
614 Autumnwood Forest Dr
Lake St. Louis, MO 63367-2633
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2006036094 (MO) |
Professional Counselor: Definition to come...
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About NPI 1609171248
Mika M. Ross, M.ED.'s National Provider Identifier is 1609171248, issued on Jan 12, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lake St. Louis, MO. The record was last updated on Jan 12, 2011.