Individual
LISA ROLL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., A.D.T.R. L.P.C
Contact information
Practice address
245 S MADISON BLVD, BARTLESVILLE, OK 74006-2822
(918) 336-1463
(918) 331-9717
Mailing address
1428 VALLEY RD, BARTLESVILLE, OK 74003-5938
(918) 337-9385
(918) 331-9717
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/30/2006
Last updated
07/08/2007
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