Individual
REBECCA ANN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
10600 REDMOND RD, AUSTIN, TX 78739-1652
(512) 301-2133
Mailing address
10600 REDMOND RD, AUSTIN, TX 78739-1652
(512) 301-2133
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201819
TX
Other
Enumeration date
06/09/2012
Last updated
06/09/2012
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