MARY ROLDAN LPC NPI 1376084046

NPI Information

NPI: 1376084046
Provider Name: MARY ROLDAN, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1475 OPPORTUNITY WAY
MENASHA, WI
ZIP 54952
Phone: (920) 734-2601
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Mary Roldan, LPC is a professional counselor in Menasha, WI. Mary Roldan, LPC NPI is 1376084046. 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:

1475 OPPORTUNITY WAY
MENASHA, WI
ZIP 54952-293
Phone: (920) 734-2601
Fax: (651) 323-2648

The enumeration date for this NPI number is 3/15/2017 and was last updated on 2/22/2024.

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	101YP2500X	Counselor	Professional	74395	TEXAS	No
2	101YP2500X	Counselor	Professional	10239-125	WISCONSIN	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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