Individual
SAMANTHA KRISTINE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
15109 SILVER MAPLE CT, MEMPHIS, IN 47143-9285
(812) 207-0855
Mailing address
15109 SILVER MAPLE CT, MEMPHIS, IN 47143-9285
(812) 207-0855
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002411A
IN
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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