Individual
JILL MARIE ROETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
2033 S GLENCREST AVE, SPRINGFIELD, MO 65804-2510
(417) 890-5501
Mailing address
2033 S GLENCREST AVE, SPRINGFIELD, MO 65804-2510
(417) 890-5501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001018981
MO
Other
Enumeration date
10/05/2006
Last updated
02/18/2008
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