Individual
MS. ALANE ELIZABETH ROATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
227 METRO DR, JEFFERSON CITY, MO 65109-1134
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2006011379
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490978103
—
MO
Enumeration date
10/27/2006
Last updated
09/30/2019
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