MEDICARE: EMMA DEL BANO ROLLIN

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	2331	CO

General Provider Information

NPI Number	:	1578343083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA DEL BANO ROLLIN

Provider Business Mailing Address
First Line	:	120 OSAGE ST
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3837
Country	:	US
Telephone Number	:	757-227-2535
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 OSAGE ST
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3837
Country	:	US
Telephone Number	:	757-227-2535
Fax Number	:

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

Provider Enumeration Date	:	10/02/2023
Last Update Date	:	04/29/2026

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