Individual
DOUGLAS RAY ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1628 SPRINGFIELD ST, DAYTON, OH 45403-1430
(937) 603-5295
Mailing address
2216 MCCLEARY JACOBY RD, CORTLAND, OH 44410-9426
(330) 984-7475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.190856
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
05
—
2910854
—
OH
01
—
568946544
BCBS
OH
01
—
5874
HEALTH PARTNERS
OH
05
—
96B
—
OH
Enumeration date
01/27/2022
Last updated
04/21/2025
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