Individual
KRISTIN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2607 N GRANDVIEW BLVD STE 110, WAUKESHA, WI 53188-1690
(262) 313-8339
Mailing address
725 W FRESHWATER WAY APT 402, MILWAUKEE, WI 53204-4123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/14/2021
Last updated
01/09/2023
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