Organization · Type 2 NPI
Patricia A. Roosevelt LLC
Professional Counselor · Columbia, IL
NPI number
1891288478
Active
Practice location
101 Mccrosky Professional Park
Columbia, IL 62236-2471
Mailing address
4604 Kaskaskia Rd
Waterloo, IL 62298-3712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.011395 (IL) |
Professional Counselor: Definition to come...
Other professional counselor providers in Columbia
About NPI 1891288478
Patricia A. Roosevelt LLC's National Provider Identifier is 1891288478, issued on Jun 8, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Columbia, IL. The record was last updated on Jun 8, 2018.