Individual
STACY L ROTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
948 MAIN STREET, MUNFORDVILLE, KY 42765
(270) 218-0941
Mailing address
81 BUELL AVE, MUNFORDVILLE, KY 42765-9200
(270) 218-0941
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
282348
KY
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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