Provider Demographics
NPI:1841967379
Name:ROLLE, DENISE ARNETTA (LPC)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:ARNETTA
Last Name:ROLLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3817 VENTNOR AVE APT 1109
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08401-5962
Mailing Address - Country:US
Mailing Address - Phone:609-345-2920
Mailing Address - Fax:
Practice Address - Street 1:3817 VENTNOR AVE APT 1109
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-5962
Practice Address - Country:US
Practice Address - Phone:609-345-2920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC0085700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health