Provider Demographics
NPI:1295831964
Name:ROSS, VALERIE R (MS)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:R
Last Name:ROSS
Suffix:
Gender:F
Credentials:MS
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 24366
Mailing Address - Street 2:PFS
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-0366
Mailing Address - Country:US
Mailing Address - Phone:206-598-0502
Mailing Address - Fax:206-598-0516
Practice Address - Street 1:4242 ROOSEVELT WAY NE
Practice Address - Street 2:BOX 354775
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-6009
Practice Address - Country:US
Practice Address - Phone:206-598-4055
Practice Address - Fax:206-598-5769
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00000934106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist