Provider Demographics
NPI:1902782212
Name:ROSS, JUANITA SHARON (BBH-LCPC-LIC-11541)
Entity type:Individual
Prefix:MS
First Name:JUANITA
Middle Name:SHARON
Last Name:ROSS
Suffix:
Gender:F
Credentials:BBH-LCPC-LIC-11541
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 AVENUE D STE B9
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-3013
Mailing Address - Country:US
Mailing Address - Phone:406-860-6621
Mailing Address - Fax:
Practice Address - Street 1:1629 AVENUE D STE B9
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3013
Practice Address - Country:US
Practice Address - Phone:406-860-6621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBHH-LCPC-LIC-11541101YP2500X
MTBBH-LCPC-LIC-11541101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional