Individual
CHAD MICHAEL ROLLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 SHARRON AVE, PLATTSBURGH, NY 12901-4700
(518) 561-1447
Mailing address
1 FISKE RD APT 4, WEST CHAZY, NY 12992-3308
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
5051
NY
Other
Enumeration date
07/18/2019
Last updated
10/06/2023
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