Individual
MR. ROLLIE ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
819 WATER ST., KERRVILLE, TX 78028
(830) 258-5401
Mailing address
819 WATER ST., KERRVILLE, TX 78028
(830) 258-5401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8173
TX
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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