Provider Demographics
NPI:1487614038
Name:ROMANELLI, ROXANNE (LMHC)
Entity type:Individual
Prefix:
First Name:ROXANNE
Middle Name:
Last Name:ROMANELLI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 N 1ST ST
Mailing Address - Street 2:SUITE 54
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-2859
Mailing Address - Country:US
Mailing Address - Phone:360-336-3632
Mailing Address - Fax:360-336-2521
Practice Address - Street 1:117 N 1ST ST
Practice Address - Street 2:SUITE 54
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-2859
Practice Address - Country:US
Practice Address - Phone:360-336-3632
Practice Address - Fax:360-336-2521
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA5280101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health