Individual
MISS ROLANDA DENISE MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
315 C SOUTH LONG DRIVE, ROCKINGHAM, NC 28379
(910) 997-5477
(910) 997-5290
Mailing address
112 GREENLAND RD, ELLERBE, NC 28338-9127
(910) 334-5819
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
7570
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201429
NCC ID #
—
01
—
7570
NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS
NC
Enumeration date
06/26/2007
Last updated
11/30/2009
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