Individual provider · Type 1 NPI

Lisa Ross

Professional Counselor · Benton, AR

NPI number 1790948396 Active

Practice location

100 Rivendell Dr
Benton, AR 72019-9188

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1790948396

Lisa Ross's National Provider Identifier is 1790948396, issued on Jul 3, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Benton, AR. The record was last updated on Jul 3, 2008.