Most Relevant Information
Provider Data
NPI Number: | 1003496928 |
Provider Name: | MEAGAN ROSS |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | LPC014001 |
Most Important Dates
Enumeration Date: | 04/13/2021 |
Last Updated: | 02/20/2024 |
Provider Practice Location
1060 RIVER VALLEY DR
DACULA
GA
300193161
Practice Location Phone/Fax
Phone: | 5672775638 |
Fax: |
Provider Mailing Location
3659 IN BLOOM WAY
AUBURN
GA
300112556
Provider Mailing Phone/Fax
Phone: | |
Fax: |