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Ms. Kim Tracy Ross, LADC
Counselor in Lakeville, Minnesota
NPI 1619646031

Kim Tracy Ross is a Counselor based in Apple Valley, MN. Kim Tracy Ross practices in Lakeville, MN and has the professional credentials of LADC. The NPI Number for Kim Tracy Ross is 1619646031 and holds a License No. 306150 (Minnesota).

The current practice location address for Kim Tracy Ross is 7580 160Th St W, Lakeville, MN and can be reached out via phone at 507-273-1084. You can also correspond with Kim Tracy Ross through the mailing address at 12147 GANTRY LN, APPLE VALLEY, MN - 55124-6297 (mailing address contact number: 507-273-1084).

Location: 7580 160Th St W, Lakeville, MN, 55124-6297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619646031
Provider Name
Kim Tracy Ross
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
7580 160Th St W, Lakeville, MN, 55124-6297
Phone Number
507-273-1084
Fax Number
Provider Enumeration Date
09/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7580 160Th St W
City
Lakeville
State
Minnesota
Zip
55044-8348
Phone Number
507-273-1084
Fax Number
person
Provider Business Mailing Address Details
Address
7580 160Th St W
City
Lakeville
State
Minnesota
Zip
55044-8348
Phone Number
507-273-1084
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
306150 (Minnesota)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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