Individual
MARJORIE RUTH ROCCOBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MARJORIE ROCCOBERTON
Contact information
Practice address
82 SHODDY MILL RD, BOLTON, CT 06043-7818
(860) 977-0630
Mailing address
82 SHODDY MILL RD., BOLTON, CT 06043-7818
(860) 977-0630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000292
CT
101YP2500X
Professional Counselor
000292
CT
101YS0200X
School Counselor
2102085697
CT
106H00000X
Marriage & Family Therapist
000292
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000292
LICENSED PROFESSIONAL COUNSELOR
CT
01
—
2102085697
CERTIFIED SCHOOL COUNSELOR
CT
Enumeration date
08/23/2011
Last updated
04/08/2014
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