Individual provider · Type 1 NPI

Kim Ross, LADC

Addiction (Substance Use Disorder) Counselor · North Haven, CT

NPI number 1992059539 Active

Practice location

352 State St
North Haven, CT 06473-3108

Call (203) 781-4600 Map

Fax (203) 781-4624

Mailing address

1 Long Wharf Dr, Stw 321
New Haven, CT 06511-5991

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X000984LADC (CT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1992059539

Kim Ross, LADC's National Provider Identifier is 1992059539, issued on Nov 5, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in North Haven, CT. The record was last updated on Jan 24, 2022.