Individual provider · Type 1 NPI
Jennifer Roth, LPC
Professional Counselor · Flagstaff, AZ
NPI number
1174254460
Active
Practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Mailing address
2532 N 4th St # 506
Flagstaff, AZ 86004-3712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-20324 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1174254460
Jennifer Roth, LPC's National Provider Identifier is 1174254460, issued on Jun 18, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Flagstaff, AZ. The record was last updated on Jul 22, 2022.