Rouholiman, Mary

Rouholiman, Mary is an individual health care provider with primary practice located at 1714 Highland Ave , Carrollton KY 41008. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Rouholiman, Mary can be contacted via phone (502) 732-9331.

Contact Information

Primary practice address
1714 Highland Ave Carrollton KY 41008
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X KY-08-017 Kentucky

Profile Details

NPI number 1619127636
LBN Legal business name Rouholiman, Mary
Credentials MFTA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2008
Last updated Sep 26th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619127636 NPPES
Kentucky Other 610661458 GROUP TAX ID

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