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Individual

LISA ROLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAC, NCC

Contact information

Practice address
1205 HIGHWAY 35, OCEAN, NJ 07712
(732) 757-2176
Mailing address
1205 HIGHWAY 35, OCEAN, NJ 07712-4077
(732) 757-2176

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00146500
NJ
221700000X
Art Therapist
37AC00146500
NJ

Other

Enumeration date
06/25/2013
Last updated
05/29/2018
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