Individual
MARK W ROTHFUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMFT, LMAC
Contact information
Practice address
207 N MILL ST STE 5, BELOIT, KS 67420
(785) 738-5363
(785) 738-6471
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4300
(785) 587-4377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
457
KS
106H00000X
Marriage & Family Therapist
Primary
327
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11655335
CAQH
—
05
—
200450820A
—
KS
01
—
818-3624
CONSORTIUM
KS
01
—
856675
BCBS
KS
Enumeration date
07/01/2006
Last updated
08/29/2018
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