Individual provider · Type 1 NPI
Misty Johnetta Ross
Mental Health Counselor · Shreveport, LA
NPI number
1699245928
Active
Practice location
2942 Knight St., Bldg. 4 Suite 426
Shreveport, LA 71105
Mailing address
3555 Cedar Creek Dr Apt 913
Shreveport, LA 71118-2349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1699245928
Misty Johnetta Ross's National Provider Identifier is 1699245928, issued on Nov 29, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Dec 28, 2021.