Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1104128750 |
---|---|
Provider Name | Trudy Rollison |
First Address | Carson City, NV 89706-0782 |
Second Address | Winnemucca, NV 89445-3677 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2010 |
Last Update Date | 01/12/2010 |