Individual
JAMIE ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS APCC
Contact information
Practice address
4750 PALM AVE, RIVERSIDE, CA 92501-4012
(951) 686-0021
Mailing address
15163 MISSION ST, HESPERIA, CA 92345-4218
(760) 684-9963
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
APCC5208
CA
Other
Enumeration date
03/08/2018
Last updated
10/08/2018
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