MEDICARE: MINDI ROJAS ATR-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1457866972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINDI ROJAS ATR-BC

Provider Business Mailing Address
First Line	:	1210 E PARK AVE
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-2653
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 E PARK AVE
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-2653
Country	:	US
Telephone Number	:	850-264-2811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2017
Last Update Date	:	12/06/2017

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