MS. CHARLESETTA ROLACK LICSW NPI 1083868970

NPI Information

NPI: 1083868970
Provider Name: MS. CHARLESETTA ROLACK, LICSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
2100 WILSON AVE
SAINT PAUL, MN
ZIP 55119
Phone: (651) 771-1301
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MS. Charlesetta Rolack, LICSW is a mental health counselor in Saint Paul, MN with 19 years of experience. MS. Charlesetta Rolack, LICSW NPI is 1083868970. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 WILSON AVE
SAINT PAUL, MN
ZIP 55119-034
Phone: (651) 771-1301
Fax: (651) 771-2542

The NPI 1083868970 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 11/5/2008 and was last updated on 11/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	18701	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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