Provider Demographics
NPI:1588757298
Name:ROSSLER, VICKI LYNN (LMHC, NCC, CAPP)
Entity type:Individual
Prefix:MS
First Name:VICKI
Middle Name:LYNN
Last Name:ROSSLER
Suffix:
Gender:F
Credentials:LMHC, NCC, CAPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2431 ALOMA AVENUE
Mailing Address - Street 2:SUITE 129
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32765
Mailing Address - Country:US
Mailing Address - Phone:407-365-2607
Mailing Address - Fax:407-671-7360
Practice Address - Street 1:2431 ALOMA AVENUE
Practice Address - Street 2:SUITE 129
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32765
Practice Address - Country:US
Practice Address - Phone:407-365-2607
Practice Address - Fax:407-671-7360
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3167101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health