| Tracey L Ross Lmhc Llc | |
|
22 Mount Auburn St Watertown MA 02472-3992 | |
| (781) 929-5616 | |
| Not Available |
| Full Name | Tracey L Ross Lmhc Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 22 Mount Auburn St, Watertown, Massachusetts |
| Authorized Official Name and Position | Tracey Ross (MEMBER) |
| Authorized Official Contact | 7819295616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey L Ross Lmhc Llc 15 Main St Unit 237 Watertown MA 02472-4403 Ph: () - | Tracey L Ross Lmhc Llc 22 Mount Auburn St Watertown MA 02472-3992 Ph: (781) 929-5616 |
| NPI Number | 1063154995 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 04/11/2022 |
| Certification Date | 04/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063154995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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