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Individual
STEFFANI LYNNE ROLLER
Active
Individual
STEFFANI LYNNE ROLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13451
TX
101YP2500X
Professional Counselor
Primary
76357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13451
LCDC LICENSE
TX
01
—
76357
LPC LICENSE
TX
Enumeration date
08/07/2017
Last updated
02/20/2020
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