Individual
MR. BRANDON J ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
306 BOWLINE CT, FORT COLLINS, CO 80525-3116
(208) 317-5875
Mailing address
306 BOWLINE CT, FORT COLLINS, CO 80525-3116
(208) 317-5875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0018181
CO
Other
Enumeration date
05/03/2022
Last updated
03/26/2025
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