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Laurence Rolicheck I
Mental Health Counselor in Cottage Grove, Oregon
NPI 1205294154

Laurence Rolicheck I is a Mental Health Counselor based in Cottage Grove, OR and is specialized in Mental Health. Laurence Rolicheck I practices in Cottage Grove, OR. The NPI Number for Laurence Rolicheck I is 1205294154 and holds a License No. (Oregon).

The current practice location address for Laurence Rolicheck I is 1345 Birch Ave, Cottage Grove, OR and can be reached out via phone at 541-942-3939.

Location: 1345 Birch Ave, Cottage Grove, OR, 97424-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205294154
Provider Name
Laurence Rolicheck I
Credential
Provider Entity Type
Individual
Gender
Male
Address
1345 Birch Ave, Cottage Grove, OR, 97424-0001
Phone Number
541-942-3939
Fax Number
Provider Enumeration Date
02/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1345 Birch Ave
City
Cottage Grove
State
Oregon
Zip
97424-1416
Phone Number
541-942-3939
Fax Number
person
Provider Business Mailing Address Details
Address
1345 Birch Ave
City
Cottage Grove
State
Oregon
Zip
97424-1416
Phone Number
541-942-3939
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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