Individual
MICHAEL ROLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 E MAIN ST STE 600, OTHELLO, WA 99344-1146
(509) 488-4074
(509) 488-0166
Mailing address
425 E MAIN ST STE 600, OTHELLO, WA 99344-1146
(509) 488-4074
(509) 488-0166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005887
WA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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