Individual
CLARISSA RENEE ROAN-BELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 LEESTOWN RD STE 326, LEXINGTON, KY 40511-2047
(859) 368-4410
(859) 368-4410
Mailing address
877 SUNNY SLOPE TRACE, LEXINGTON, KY 40515-5815
(859) 368-4410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
162670
KY
Other
Enumeration date
06/12/2012
Last updated
12/12/2019
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