Individual
KEREN MARIE ROESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CAP, SAP, CRC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH11184
FL
101YP2500X
Professional Counselor
Primary
NCC982567
—
Other
Enumeration date
10/02/2012
Last updated
12/17/2019
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