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Individual

JAMIE ROLLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MCP, LPC

Contact information

Practice address
2023 TURNER ST, PONCA CITY, OK 74604-2733
(580) 761-4227
Mailing address
2023 TURNER, PONCA CITY, OK 74604
(580) 716-3851
(580) 298-5357

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5901
OK
103K00000X
Behavior Analyst

Other

Enumeration date
02/01/2013
Last updated
08/15/2025
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