Most Relevant Information
Provider Data
NPI Number: | 1003004623 |
Provider Name: | HAROLD DWAYNE ROLLER LCMFT |
Entity Type: | Individual |
Taxonomy Code: | 106H00000X |
Specialty: | Marriage & Family Therapist |
License Number: | 259 |
Most Important Dates
Enumeration Date: | 10/09/2007 |
Last Updated: | 10/09/2007 |
Provider Practice Location
21350 W 153RD ST
OLATHE
KS
660615413
Practice Location Phone/Fax
Phone: | 9133222400 |
Fax: | 9136215730 |
Provider Mailing Location
21350 W 153RD ST
OLATHE
KS
660615413
Provider Mailing Phone/Fax
Phone: | 9133222400 |
Fax: | 9136215730 |