Linda Elaine Roedell

Individual provider Active NPI Counselor · Rangely, CO

NPI 1407159882 · NPPES record last updated Dec 7, 2010

Key facts

NPI
1407159882
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
17497 Highway 64 W
Rangely, CO 81648-2522
Phone
(970) 675-8411
Fax
(970) 675-2508
NPI assigned
Dec 7, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

17497 Highway 64 W
Rangely, CO 81648-2522

Mailing address

PO Box 40
Glenwood Springs, CO 81602-0040
Phone (970) 945-2241

Other names

  • Linda E. Waterman Former name

Other providers in Rangely, CO

All providers in Rangely, CO · Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.