Dusty Rollice, PRSS
Peer Specialist in Tahlequah, OK. Individual provider (NPI-1).
NPI number1265166193
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1265166193
- Entity type
- Individual (NPI-1)
- Name
- Dusty Rollice
- Credential
- PRSS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2022
- Certification date
- Jul 8, 2022
- Last updated
- Jul 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | OK | Yes |
Practice location
1323 W Keetoowah StTahlequah, OK 74464-3462
Phone 918-316-0573
Mailing address
1323 W Keetoowah StTahlequah, OK 74464-3462
Phone 918-931-3890
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All 135 Peer Specialist providers in Tahlequah · All 1,444 providers in Tahlequah
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