MEDICARE: DENISE ARNETTA ROLLE LPC

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	101YM0800X	Mental Health Counselor	37PC0085700	NJ

General Provider Information

NPI Number	:	1841967379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE ARNETTA ROLLE LPC

Provider Business Mailing Address
First Line	:	3817 VENTNOR AVE APT 1109
Second Line	:
City	:	ATLANTIC CITY
State	:	NJ
Zip	:	08401-5962
Country	:	US
Telephone Number	:	609-345-2920
Fax Number	:

Provider Business Practice Location Address
First Line	:	3817 VENTNOR AVE APT 1109
Second Line	:
City	:	ATLANTIC CITY
State	:	NJ
Zip	:	08401-5962
Country	:	US
Telephone Number	:	609-345-2920
Fax Number	:

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

Provider Enumeration Date	:	08/24/2021
Last Update Date	:	08/24/2021

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Directions to “ DENISE ARNETTA ROLLE LPC” Practice Location

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