Individual
MS. DEBRA LYNN ROESCHLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
2315 MYRON DR, RALEIGH, NC 27607-3344
(919) 865-8706
Mailing address
1001 NARCISSUS CT, CLAYTON, NC 27520-3768
(919) 550-2199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1155
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111941
—
NC
Enumeration date
01/23/2007
Last updated
10/02/2009
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