Individual
VICKI L ROHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
104 PIRATE DR, GRANBURY, TX 76048-5682
(817) 579-4464
(817) 579-9253
Mailing address
104 PIRATE DR, GRANBURY, TX 76048-5682
(817) 579-4464
(817) 579-9253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10187
TX
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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