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Individual

KIMBERLY LOUISE ROETS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT-INTERN

Contact information

Practice address
9801 GAVIN STONE AVE, LAS VEGAS, NV 89145-8608
(775) 453-3459
Mailing address
9801 GAVIN STONE AVE, LAS VEGAS, NV 89145-8608
(775) 453-3459

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
11/05/2011
Last updated
11/05/2011
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