Organization
KARLA ROTH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIA ESTES (CREDENTIALING SPECIALIST)
(208) 269-0689
Entity
Organization
Contact information
Practice address
114 COMMERCE DR, HESSTON, KS 67062-8938
(620) 869-9986
Mailing address
114 COMMERCE DR, HESSTON, KS 67062-8938
(620) 869-9986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200536350C
—
KS
Enumeration date
06/14/2021
Last updated
06/30/2021
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