Dallas Roessner
Counselor, Mental Health in Mentor, OH. Individual provider (NPI-1).
NPI number1699200725
StatusActive
Last updated in NPPESApr 26, 2017
Details
- NPI
- 1699200725
- Entity type
- Individual (NPI-1)
- Name
- Dallas Roessner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2017
- Last updated
- Apr 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | C. 1500657 | OH | Yes |
Practice location
8500 Station StSuite 101
Mentor, OH 44060-4943
Phone 440-742-4656
Mailing address
8500 Station StSuite 101
Mentor, OH 44060-4943
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