Provider Demographics
NPI:1417313198
Name:ROSS, DANNY
Entity type:Individual
Prefix:
First Name:DANNY
Middle Name:
Last Name:ROSS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 301
Mailing Address - Street 2:210 NORTH ECTOR DR.
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-0301
Mailing Address - Country:US
Mailing Address - Phone:817-989-6322
Mailing Address - Fax:
Practice Address - Street 1:1104 W PIONEER PKWY STE 300
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-7625
Practice Address - Country:US
Practice Address - Phone:817-989-6322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71565101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor