Tracy M Ross
Pastoral Counselor
4218 Guion Lakes Ter
Indianapolis
, Indiana 46254-1594
Tracy M Ross
Pastoral Counselor
4218 Guion Lakes Ter
Indianapolis
, Indiana 46254-1594
(317) 664-1390
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Tracy M Ross
- Po Box 53224
- Indianapolis, IN
- Zip : 46253-0224
- Phone : (317) 664-1390
Second Address
- Tracy M Ross
- 4218 Guion Lakes Ter
- Indianapolis, IN
- Zip : 46254-1594
- Phone : (317) 664-1390
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1336312263 |
|---|---|
| Provider Name | Tracy M Ross |
| First Address | Indianapolis, IN 46253-0224 |
| Second Address | Indianapolis, IN 46254-1594 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2008 |
| Last Update Date | 11/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201034050A | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.