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Individual

LISA A ROLLINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6750 164TH ST APT 6F, FLUSHING, NY 11365-3187
(917) 474-2247
Mailing address
6750 164TH ST APT 6F, FLUSHING, NY 11365-3187
(917) 474-2247

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
NY
101YP2500X
Professional Counselor
NY
101YS0200X
School Counselor
Primary
805523
NY

Other

Enumeration date
12/26/2024
Last updated
12/26/2024
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