Individual
ANNA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
115 S SYCAMORE ST, GARDNER, KS 66030-1348
(913) 353-8682
Mailing address
115 S SYCAMORE ST, GARDNER, KS 66030-1348
(913) 353-8682
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3207
KS
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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