CONNIE ROSS
NPI 1093921538
Counselor - Addiction (Substance Use Disorder) in Ukiah, CA
Active since May 14, 2007
About Connie Ross NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE ROSS (NPI 1093921538) is an individual addiction (substance use disorder) provider in Ukiah, California and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1093921538
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCONNIE ROSS
Location Address1120 S DORA STUkiah, CA 95482-6340
Mailing Address1120 S Dora StUkiah, CA 95482-6340
Phone(707) 472-2604
Sole ProprietorNo
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093921538 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1120 S DORA ST, Ukiah, CA 95482
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093921538, enumerated as an "individual" on May 14, 2007.
The provider is located at 1120 S DORA ST UKIAH, CA 95482 and the phone number is (707) 472-2604.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
