Individual
MARY ROLDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1475 OPPORTUNITY WAY, MENASHA, WI 54952-1293
(920) 734-2601
(651) 323-2648
Mailing address
1825 RIVERSIDE DR, GREEN BAY, WI 54301-2316
(920) 272-8234
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10239-125
WI
101YP2500X
Professional Counselor
74395
TX
Other
Enumeration date
03/15/2017
Last updated
02/22/2024
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