Individual
GROVER CLEAVON ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2900 N J ST APT 206, MCALLEN, TX 78501-1445
(956) 655-7872
(956) 627-1253
Mailing address
PO BOX 720879, MCALLEN, TX 78504-0879
(956) 655-7872
(956) 627-1253
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
18335
TX
103T00000X
Psychologist
Primary
38840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159360002
—
TX
05
—
163689601
—
TX
Enumeration date
04/04/2007
Last updated
05/06/2024
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