Kevin Lee Ross, CRC

NPI #1417796020 in Sparta, Illinois

Provider Information

NPI Number: 1417796020
Entity Type: Individual
Name: Kevin Lee Ross, CRC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: CRC
Enumeration Date: May 22, 2024
Last Updated: May 22, 2024

Practice Location

Address: 104 NORTHTOWN RD
City: Sparta
State: Illinois
ZIP Code: 62286-1081
Phone: (618) 443-3084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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