Individual provider · Type 1 NPI
Marjorie Ruth Roccoberton, MARJORIE ROCCOBERTON
Mental Health Counselor · Bolton, CT
NPI number
1881974855
Active
Practice location
82 Shoddy Mill Rd
Bolton, CT 06043-7818
Mailing address
82 Shoddy Mill Rd.
Bolton, CT 06043-7818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Counselor | 101YS0200X | 2102085697 (CT) |
| Marriage & Family Therapist | 106H00000X | 000292 (CT) |
| Mental Health Counselor Primary | 101YM0800X | 000292 (CT) |
| Professional Counselor | 101YP2500X | 000292 (CT) |
Mental Health Counselor: Definition to come...
About NPI 1881974855
Marjorie Ruth Roccoberton, MARJORIE ROCCOBERTON's National Provider Identifier is 1881974855, issued on Aug 23, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bolton, CT. The record was last updated on Apr 8, 2014.