Provider Demographics
NPI:1285175034
Name:ROSS, KATRINA ELAINE (LPC)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:ELAINE
Last Name:ROSS
Suffix:
Gender:F
Credentials:LPC
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Other - First Name:
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Mailing Address - Street 1:2525 LONGVIEW AVE SW APT 4
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-1534
Mailing Address - Country:US
Mailing Address - Phone:540-819-5726
Mailing Address - Fax:844-610-6051
Practice Address - Street 1:3243 ELECTRIC RD STE 2B
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-6440
Practice Address - Country:US
Practice Address - Phone:540-819-5726
Practice Address - Fax:844-610-6051
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0701007033101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional