Most Relevant Information
Provider Data
| NPI Number: | 1003448358 |
| Provider Name: | ROSHONDA ROSS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/05/2020 |
| Last Updated: | 02/05/2020 |
Provider Practice Location
3600 JACKSON ST STE 111B
ALEXANDRIA
LA
713033000
Practice Location Phone/Fax
| Phone: | 3184834155 |
| Fax: |
Provider Mailing Location
3600 JACKSON ST STE 111B
ALEXANDRIA
LA
713033000
Provider Mailing Phone/Fax
| Phone: | 3184834155 |
| Fax: |