Individual
JUSTIN ROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, MHSP, CSAT
Contact information
Practice address
2409 21ST AVE S, SUITE 102, NASHVILLE, TN 37212-5317
(615) 428-0387
Mailing address
2409 21ST AVE S, SUITE 102, NASHVILLE, TN 37212-5317
(615) 428-0387
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2646
TN
Other
Enumeration date
09/12/2015
Last updated
09/12/2015
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