ROGER DEROSSETT
NPI 1043828528
Counselor - Mental Health in Prestonsburg, KY
Active since July 21, 2020
About Roger Derossett NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROGER DEROSSETT (NPI 1043828528) is an individual mental health provider in Prestonsburg, Kentucky and active in the NPI registry since July 2020.
NPPES Registry Identity
NPI1043828528
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameROGER DEROSSETT
Location Address104 S FRONT AVEPrestonsburg, KY 41653-1614
Mailing Address104 S Front AvePrestonsburg, KY 41653-1614 · (606) 886-8572 · Fax (606) 886-4433
Phone(606) 886-8572
Fax(606) 886-4433
Sole ProprietorYes
Enumeration DateJuly 21, 2020
NPPES CertifiedJuly 21, 2020
✔ NPI 1043828528 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
104 S FRONT AVE, Prestonsburg, KY 41653
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
104 S FRONT AVE
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
Counselor (Addiction (Substance Use Disorder))
104 S FRONT AVE
PRESTONSBURG, KY 41653
PRESTONSBURG, KY 41653
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043828528, enumerated as an "individual" on July 21, 2020.
The provider is located at 104 S FRONT AVE PRESTONSBURG, KY 41653 and the phone number is (606) 886-8572.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.