Individual
DIANNA ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 RAFAEL ST N, KEIZER, OR 97303
(971) 388-0999
Mailing address
1160 RAFAEL ST N, KEIZER, OR 97303
(971) 388-0999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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