Provider Demographics
NPI:1679212807
Name:ROSS, KEYONDRIA ANNALEE (MS, LPC, NCC)
Entity type:Individual
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First Name:KEYONDRIA
Middle Name:ANNALEE
Last Name:ROSS
Suffix:
Gender:F
Credentials:MS, LPC, NCC
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4896 HALIFAX CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-7621
Mailing Address - Country:US
Mailing Address - Phone:931-217-2899
Mailing Address - Fax:
Practice Address - Street 1:4896 HALIFAX CT
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-7621
Practice Address - Country:US
Practice Address - Phone:931-217-2899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-04
Last Update Date:2025-01-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health