person
Clinton Samuel Rolle, MA,PLPC
Professional Counselor in Columbia, Missouri
NPI 1881370617

Clinton Samuel Rolle is a Professional Counselor based in Springfield, MO and is specialized in Professional. Clinton Samuel Rolle practices in Columbia, MO and has the professional credentials of MA,PLPC. The NPI Number for Clinton Samuel Rolle is 1881370617 and holds a License No. 2023042136 (Missouri).

The current practice location address for Clinton Samuel Rolle is 3401 Berrywood Dr Ste 203, Columbia, MO and can be reached out via phone at 573-777-8455.

Location: 3401 Berrywood Dr Ste 203, Columbia, MO, 65807-3952
person
Provider Profile Details
NPI Number
1881370617
Provider Name
Clinton Samuel Rolle
Credential
MA,PLPC
Provider Entity Type
Individual
Gender
Male
Address
3401 Berrywood Dr Ste 203, Columbia, MO, 65807-3952
Phone Number
573-777-8455
Fax Number
Provider Enumeration Date
06/26/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 MO
institution
Provider Business Practice Location Address Details
Address
3401 Berrywood Dr Ste 203
City
State
Zip
65201-6515
Phone Number
573-777-8455
Fax Number
person
Provider Business Mailing Address Details
Address
3401 Berrywood Dr Ste 203
City
State
Zip
65201-6515
Phone Number
573-777-8455
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2023042136 (Missouri)
Definition
Definition to come...
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