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Individual
MRS. MARCIA RENEE ROODHOUSE
Active
Individual
MRS. MARCIA RENEE ROODHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180-003087
IL
101YP2500X
Professional Counselor
180003087
IL
101YP2500X
Professional Counselor
2006026203
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180-003087
LICENSE NO.
IL
01
—
2006026203
LICENSE NO.
MO
Enumeration date
03/14/2007
Last updated
06/26/2019
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