Individual
ROXANNE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1382 BLUE OAKS BLVD STE 213, ROSEVILLE, CA 95678-7052
(916) 299-9600
Mailing address
18985 DOTTIES PL, GRASS VALLEY, CA 95949-9594
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10613
CA
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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