Individual provider · Type 1 NPI
Elisa Roth, LMHC
Mental Health Counselor · West Burlington, IA
NPI number
1629464102
Active
Practice location
1225 S Gear Ave
West Burlington, IA 52655-1691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1691 (IA) |
Mental Health Counselor: Definition to come...
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About NPI 1629464102
Elisa Roth, LMHC's National Provider Identifier is 1629464102, issued on Apr 10, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Burlington, IA. The record was last updated on Mar 29, 2021.