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NPI Code Detail

MEDICARE: MS. MARA LYNN ROHRER LPCC

MEDICARE: MS. MARA LYNN ROHRER LPCC
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
1101YP2500XProfessional Counselor103087KY
2101YA0400XAddiction (Substance Use Disorder) Counselor1476KY

General Provider Information

NPI Number : 1588083497
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARA LYNN ROHRER LPCC
Provider Business Mailing Address
First Line : 100 EXECUTIVE PARK UNIT 103
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-4201
Country : US
Telephone Number : 859-214-7440
Fax Number :
Provider Business Practice Location Address
First Line : 100 EXECUTIVE PARK UNIT 103
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-4201
Country : US
Telephone Number : 859-214-7440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2014
Last Update Date : 03/09/2026

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