Individual provider · Type 1 NPI

Laurie M. Roth, MFT

Mental Health Counselor · Petaluma, CA

NPI number 1295284644 Active

Practice location

159 Kentucky St, Suite 1
Petaluma, CA 94952-2305

Call (707) 778-8414 Map

Mailing address

159 Kentucky St Ste 1
Petaluma, CA 94952-2324

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC25807 (CA)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1295284644

Laurie M. Roth, MFT's National Provider Identifier is 1295284644, issued on Sep 27, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Petaluma, CA. The record was last updated on Sep 27, 2016.