Individual provider · Type 1 NPI

Kim Tracy Ross, LADC

Counselor · Lakeville, MN

NPI number 1619646031 Active

Practice location

7580 160th St W
Lakeville, MN 55044-8348

Call (507) 273-1084 Map

Mailing address

12147 Gantry Ln
Apple Valley, MN 55124-6297

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X306150 (MN)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1619646031

Kim Tracy Ross, LADC's National Provider Identifier is 1619646031, issued on Sep 9, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lakeville, MN. The record was last updated on Sep 9, 2021.