Individual provider · Type 1 NPI

Jacqueline Rochelle Ross, PhD

Professional Counselor · Flossmoor, IL

NPI number 1770916165 Active

Practice location

1139 Leavitt Ave, Unit 210
Flossmoor, IL 60422-1550

Call (708) 957-9420 Map

Fax (708) 365-6392

Mailing address

3612 Lincoln Hwy, Suite 6
Olympia Fields, IL 60461-1627

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178008975 (IL)

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About NPI 1770916165

Jacqueline Rochelle Ross, PhD's National Provider Identifier is 1770916165, issued on Aug 20, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Flossmoor, IL. The record was last updated on Aug 20, 2013.