| Doctor Name: | MS. CANDACE A ROSS |
| NPI Number: | 1467549212 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW, MAC |
| License Number: | CW012500 |
| Business Practice Address: | 519 Penn Avenue Suite 202 Turtle Creek, PA - 15145 |
| Business Phone Number: | 4128248510 |
| Business Fax Number: | 4128240948 |
| Mailing Address: | 519 Penn Avenue, Suite 202 TURTLE CREEK |
| State: | PA |
| Postal Code: | 15145 |
| Phone Number: | 4128248510 |
| Fax Number: | 4128240948 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 06/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CW012500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |