| Doctor Name: | JENNIFER ROSS |
| NPI Number: | 1003006537 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., PLMHP |
| License Number: | 8311 |
| Business Practice Address: | 2205 S 10th St Suite 328 Omaha, NE - 681081155 |
| Business Phone Number: | 4025044102 |
| Business Fax Number: | |
| Mailing Address: | 2205 S 10th St, Suite 328 OMAHA |
| State: | NE |
| Postal Code: | 681081155 |
| Phone Number: | 4025044102 |
| Fax Number: | |
| NPI Enumeration Date: | 07/31/2007 |
| NPI Last Update Date: | 07/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 8311 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |