Doctor Name: | ERICA S ROSS |
NPI Number: | 1104025006 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPA |
License Number: | 2511 |
Business Practice Address: | 1200 N Flint St Lincolnton, NC - 280925239 |
Business Phone Number: | 7047350255 |
Business Fax Number: | 7047369801 |
Mailing Address: | 201 Government Ave Sw, Suite 305 HICKORY |
State: | NC |
Postal Code: | 286022954 |
Phone Number: | 8282671740 |
Fax Number: | 8282671746 |
NPI Enumeration Date: | 07/12/2007 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2511 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |