Provider Demographics
NPI:1336257823
Name:ROLLEN, ESTHER V (LCSW, BCD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:V
Last Name:ROLLEN
Suffix:
Gender:F
Credentials:LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 CALLE DE SILENCIO ST
Mailing Address - Street 2:CASAS DE SERINIDAD
Mailing Address - City:YONA
Mailing Address - State:GU
Mailing Address - Zip Code:96915-4503
Mailing Address - Country:US
Mailing Address - Phone:671-789-2838
Mailing Address - Fax:
Practice Address - Street 1:36MDOS/SGOH
Practice Address - Street 2:UNIT 26012
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96543-4010
Practice Address - Country:US
Practice Address - Phone:671-366-5167
Practice Address - Fax:671-355-5122
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0003731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical