Provider Demographics
NPI:1356603120
Name:ROSS, DAVID JAMES (MS)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JAMES
Last Name:ROSS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
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Mailing Address - Street 1:9330 59TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2858
Mailing Address - Country:US
Mailing Address - Phone:253-620-5015
Mailing Address - Fax:253-620-5831
Practice Address - Street 1:12202 PACIFIC AVE S STE A
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-5157
Practice Address - Country:US
Practice Address - Phone:253-625-0662
Practice Address - Fax:253-276-0110
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health