Individual provider · Type 1 NPI

Ty Diana Ross, MA, BA

Mental Health Counselor · Santa Ana, CA

NPI number 1912553074 Active

Practice location

1910 N Bush St
Santa Ana, CA 92706-2816

Call (714) 361-7950 Map

Mailing address

4920 Avalon Blvd
Los Angeles, CA 90011-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1912553074

Ty Diana Ross, MA, BA's National Provider Identifier is 1912553074, issued on Aug 14, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Ana, CA. The record was last updated on May 19, 2022.