| Doctor Name: | PAMELA DENISE ROSS |
| NPI Number: | 1205037041 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS CAC-1 |
| License Number: | |
| Business Practice Address: | 7136 Lindale Dr Mount Morris, MI - 484589738 |
| Business Phone Number: | 8107857930 |
| Business Fax Number: | |
| Mailing Address: | Po Box 822, MOUNT MORRIS |
| State: | MI |
| Postal Code: | 484580822 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |