Individual provider · Type 1 NPI
Mimi M. Kennedy-Ross, LPC
Professional Counselor · Oracle, AZ
NPI number
1760927412
Active
Practice location
Dodge & Mt Lemmon Rd
Oracle, AZ 85623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-16413 (AZ) |
Professional Counselor: Definition to come...
Other professional counselor providers in Oracle
About NPI 1760927412
Mimi M. Kennedy-Ross, LPC's National Provider Identifier is 1760927412, issued on Jan 4, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oracle, AZ. The record was last updated on Jan 4, 2017.