Individual provider · Type 1 NPI

Mary Roldan, LPC

Professional Counselor · Green Bay, WI

NPI number 1376084046 Active

Practice location

3150 Gershwin Dr
Green Bay, WI 54311-4328

Fax (920) 391-4731

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X74395 (TX)
Professional Counselor Primary 101YP2500X10239-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1376084046

Mary Roldan, LPC's National Provider Identifier is 1376084046, issued on Mar 15, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Green Bay, WI. The record was last updated on Jul 7, 2026.