Individual provider · Type 1 NPI

Robert John Booth

Mental Health Counselor · Appleton, WI

NPI number 1831768258 Active

Practice location

2500 E Enterprise Ave Ste B
Appleton, WI 54913-8556

Mailing address

1809 Hickory Ln
Oshkosh, WI 54901-2510

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1831768258

Robert John Booth's National Provider Identifier is 1831768258, issued on Jun 21, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Appleton, WI. The record was last updated on Apr 14, 2023.