Most Relevant Information
Provider Data
| NPI Number: | 1003006537 |
| Provider Name: | JENNIFER ROSS M.A., PLMHP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 8311 |
Most Important Dates
| Enumeration Date: | 07/31/2007 |
| Last Updated: | 07/31/2007 |
Provider Practice Location
2205 S 10TH ST
SUITE 328
OMAHA
NE
681081155
Practice Location Phone/Fax
| Phone: | 4025044102 |
| Fax: |
Provider Mailing Location
2205 S 10TH ST
SUITE 328
OMAHA
NE
681081155
Provider Mailing Phone/Fax
| Phone: | 4025044102 |
| Fax: |