Male or Other

Mr. Darrell J. Rohling MA, LP, LICSW

Full Name

Mr. Darrell Jerome Rohling MA, LP, LICSW

NPI Number

1871600643

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/25/2006

Specialties

(Taxonomies)

Code

1041C0700X
103T00000X

Primary Taxonomy

No
No

Licenses

State

Minnesota
Minnesota

License Number

11860
LP-3204

Contact
Information

Purpose

Mailing
Location

Address

872 MOONLIGHT DRIVE
872 MOONLIGHT DRIVE

City

Woodbury
Woodbury

State

MN
MN

Postal Code

55125
55125

Country

US
US

Telephone Number

N/A
(651) 731-8315

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address