Individual provider · Type 1 NPI

Stacey Ann Roth, LPC

Professional Counselor · House Springs, MO

NPI number 1659359800 Active

Practice location

5800 Ash Spgs
House Springs, MO 63051-3654

Fax (636) 323-2250

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X2005028635 (MO)
Case Manager/Care Coordinator 171M00000X2005028635 (MO)
Professional Counselor Primary 101YP2500X2005028635 (MO)

Professional Counselor: Definition to come...

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About NPI 1659359800

Stacey Ann Roth, LPC's National Provider Identifier is 1659359800, issued on Jan 6, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in House Springs, MO. The record was last updated on Jun 5, 2023.