JILL MARIE ROETTO M.S., L.P.C.
NPI 1881780278
Counselor - Professional in Springfield, MO
Active since October 05, 2006
About Jill Marie Roetto M.s., L.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL MARIE ROETTO M.S., L.P.C. (NPI 1881780278) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2001018981) and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1881780278
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJILL MARIE ROETTOCredential: M.S., L.P.C.
Location Address2033 S GLENCREST AVESpringfield, MO 65804-2510
Mailing Address2033 S Glencrest AveSpringfield, MO 65804-2510 · (417) 890-5501
Phone(417) 890-5501
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateFebruary 18, 2008
✔ NPI 1881780278 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2001018981
2033 S GLENCREST AVE, Springfield, MO 65804
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881780278, enumerated as an "individual" on October 05, 2006.
The provider is located at 2033 S GLENCREST AVE SPRINGFIELD, MO 65804 and the phone number is (417) 890-5501.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
